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.d <br /> of State of Oregon— <br /> w4a' \/ F Department of Consumer and Business Services <br /> � 0 Building Codes Division <br /> a.. <br /> vrnrri;'0 <br /> ,1-1; i�1:iF<G 2 1535 Edgewater St NW <br /> \ / Mailing Address: PO Box 14470 <br /> 1f 59 Salem,OR 97309-0404 <br /> • <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 19-07088-TRIP 35.)%3- f5�%3 <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: 7/24/19 Not Valid After Expiration Date: 8/1/19 <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 /> • <br /> • <br /> Manufacturer: FLEETWOOD HOMES Model: 28583R <br /> Section Serial Number . HUD Number <br /> 1 FLE2100R19-20012A <br /> 2 FLE2100R19-20112B <br /> Original 2655 PROGESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> • <br /> Destination 18716 SHIRLEY AVE County: Marion <br /> Address: HUBBARD, OR 97032 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> • <br /> 7/24/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/O1 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />