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o F State of Oregon <br /> �`t:�\• Department of Consumer and Business Services <br /> � fs�j a�\t� <br /> y ,y� Building Codes Division <br /> •vp <br /> 'vrrnsJ:i: 1535 Edgewater St NW <br /> �,•• / Mailing Address: PO Box 14470 <br /> 859 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permiti� 3 .7 •34-1 <br /> 19-01827-TRIP J <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 2/28/19 Not Valid After Expiration Date: 3/21/19 <br /> Applicant: Superior Home Transport LLC Phone: (503) 551-3454 <br /> 257 N. 6th. st. Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: ARLINGTON G560CT <br /> Section Serial Number HUD Number <br /> 1 1191-0400-L B ORE 545241 <br /> 2 1191-0400-L A ORE 545242 <br /> Original 550 SE BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination 5172 10TH SE ST ./ County: Marion <br /> Address: SALEM, OR 97036 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> 2/28/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />