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133647
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Last modified
4/19/2023 10:00:25 PM
Creation date
4/17/2023 9:22:37 AM
Metadata
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Template:
Assessor
Account Number
133647
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/10/2023
MTL
082W11C001600
Assessor Section
Manufactured Structures
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OF 0 State of Oregon <br /> y` Department of Consumer and Business Services <br /> H.t /S..:O Building Codes Division <br /> ut � st+.z.fts 1535 Edgewater St NW <br /> I Mailing Address: PO Box 14470 <br /> g Salem,OR 97309-0404 <br /> (503)378-4530, FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> . Manufactured Structure Transportation Permit 3 . /„ <br /> c 23-03214-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: 4/11/23 Not Valid After Expiration Date:.5/10/23 <br /> Applicant: LEVEL LINE CONSTRUCTION Phone: (541) 733-6996 • <br /> 2141 Coos Bay wagon rd Email: levellineconstruction@outlook.com <br /> Roseburg, OR 97471-0000 <br /> Home Information: • <br /> Home ID: 286323 • <br /> Manufacturer: goldenwest Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 GWOR23N17280A <br /> 2 GWOR23N17280B <br /> Original 4355 ROSE BOWL LN SE 4 4 5 Q County: Marion <br /> Address: SALEM;OR 97301 1 <br /> ciu <br /> Destination 550 S STATE ST,SPC 126 County: Marion <br /> Address: SUTHERLIN, OR 97479 <br /> Transporter: OTT TRANSPORT Phone: (541) 733-6996 <br /> • Email: levellineconstruction@outlook.com <br /> \b <br /> • ,_\<NC) <br /> vP <br /> . "k.t .'-' • * \CP \-L.) , <br /> • <br /> 4/11/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/O1 <br /> STANDARD <br />
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