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of \ State of Oregon <br /> A / e att• Department of Consumer and Business Services <br /> eA \ Building Codes Division <br /> tn. ' 1535 Edgewater St NW <br /> � ;•j Mailing Address:PO Box 14470 <br /> x`59 Salem,OR 97309-0404 <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 /> 19-11277-TRIP or) •C -2 t3 <br /> ✓ <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: 11/15/19 Not Valid After Expiration Date: 12/14/19 <br /> Applicant: Superior Home Transport LLC Phone: (541) 327-7805 <br /> PO Box 1067 Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: EAGLE <br /> Section Serial Number HUD Number - <br /> 1 FLE2100R19-20203A <br /> 2 FLE2100R19-20203A <br /> original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 4915 SWEGLE NE RD, SPC 74 County: Marion <br /> Address: SALEM,OR 97301 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 11/15/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />