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Last modified
11/18/2021 9:16:39 AM
Creation date
11/18/2021 9:16:28 AM
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Assessor
Account Number
600744
Assessor Doc Type
Trip Permit
Doc Type Date
11/16/2021
MTL
083W10DD01900
Assessor Section
Manufactured Structures
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• <br /> • <br /> o F. . State of Oregon <br /> iC <br /> ,jCf•:.am Department of Consumer and Business Services <br /> � F <br /> Building Codes Division <br /> F" yirdr <br /> � ;v Y 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 Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit (o b01 4 <br /> 21-11665-TRIP lJ <br /> al((x r\ <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the `C a-3�3v <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 11/16/21 Not Valid After Expiration Date: 12/16/21 • <br /> Applicant: Homes Direct of Oregon LLC Phone: (541) 928-2083 <br /> 3838 Palm Harbor DR NE Email: tanya.abadilla@homes.direct <br /> Millersburg, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 3104G28523A <br /> Section Serial Number HUD Number <br /> 1 PHH3100R21-14653A ORE 555999 <br /> 2 PHH3100R21-14653B ORE 555600 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 4940 SUNNYSIDE SE RD County: Marion <br /> Address: SALEM, OR 97302 <br /> Transporter: Bennett Trucking Phone: .(541) 879-3444 <br /> • <br /> • <br /> • <br /> 11/16/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />
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