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348738
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Last modified
11/29/2021 10:54:54 AM
Creation date
11/29/2021 10:54:54 AM
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Assessor
Account Number
348738
Assessor Doc Type
Trip Permit
Doc Type Date
11/23/2021
MTL
093E25DC01000
Assessor Section
Manufactured Structures
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o F State of Oregon <br /> Department of Consumer and Business Services <br /> ,1 67A17G.f \ Building Codes Division <br /> N',;E f�s,�,:s�-=��•'. Z 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 69, <br /> 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 /> 21-11937-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the <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: 11/23/21 Not Valid After Expiration Date: 12/15/21 <br /> Applicant: HILLS, KASANDRA Phone: (503) 949-7943 <br /> P.O. BOX 11 Email: SANDY.PIPPIN@YAHOO.COM <br /> MILL CITY, OR 97360 <br /> Home Information: <br /> Home ID: 256225 <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number • HUD Number <br /> 1 32910241XA ORE 155109 <br /> 2 32910241XB ORE 155110 <br /> Original 33639 N SANTIAM HWY SE County: Marion <br /> Address: GATES, OR 97346 <br /> Destination 33733 RAILROAD AVE County: Marion <br /> Address: GATES,OR 97346 <br /> Transporter: HILLS, KASANDRA Phone: (503) 949-7943 <br /> Email: SANDY.PIPPIN@YAHOO.COM <br /> • <br /> 11/23/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 - <br /> STANDARD <br />
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