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604042
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Last modified
1/21/2022 7:50:42 AM
Creation date
1/21/2022 7:50:42 AM
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Assessor
Account Number
604042
Assessor Doc Type
Trip Permit
Doc Type Date
12/19/2021
MTL
061E3000000300
Assessor Section
Manufactured Structures
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o___ State of Oregon <br /> Department of Consumer and Business Services <br /> Building Codes Division <br /> u) f,%; 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 21-13339-TRIP <br /> ?:06404 )-- <br />. <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: 12/29/21 Not Valid After Expiration Date: 1/20/22 <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: WINDSTONE 15563V <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21018A ORE 553714 <br /> • Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 15978 S ABIQUA NE RD County: Marion <br /> Address: SILVERTON, OR 97381 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> OC) <br /> • <br /> • <br /> • <br /> 12/29/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />
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