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• <br /> t State of Oregon <br /> �7 * \' • Department of Consumer and Business Services <br /> air re <br /> Building Codes Division <br /> lz <br /> h i r+vrr`? C <br /> 1535 Edgewater St NW <br /> .? Mailing Address: PO Box 14470 <br /> 1:69 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 20-06983-TRIP M 3(00 574 <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: 8/26/20 Not Valid After Expiration Date: 9/24/20 <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: SKYLINE HOMES Model: LONEROCK <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A100494A ORE 553286 <br /> 2 245-000-H-A100494B ORE 553287 <br /> Original 550 SW BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination 4940 SUNNYSIDE RD, SPC K3 v/ County: Marion <br /> Address: SALEM, OR 97302 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 8/26/20 10:30 pm , Page 1 of 1 C:\myReports/reports//production/01 <br /> • STANDARD REPORTS/std Trip_Permit_pr.rpt <br />