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605255 (2)
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605255 (2)
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Last modified
2/22/2024 11:01:50 PM
Creation date
2/22/2024 10:34:06 AM
Metadata
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Template:
Assessor
Account Number
605255
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
2/21/2024
MTL
072W20BD00200
Assessor Section
Manufactured Structures
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State of Oregon <br /> ,..tom-+•t's Department of Consumer and Business Services <br /> lift:TOM,j.O Building Codes Division <br /> ��:"fsl;, •y-;; •�2 1535 Edgewater St NW <br /> . Mailing Address: PO Box 14470 <br /> �•=-•` 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 <br /> 24-01343-TRIP CO o v '. 55 <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 tFansporter during the actual move.This permit authorizes movement of all home sections <br /> Identified. • <br /> Issue Date: 2/21/24 - Not Valid After Expiration Date: 2/25/24 <br /> Applicant: MATTHEW STEVENS Phone: (877) 522-7385 <br /> 2955 FIAT AVE Email: DMIAGENTS@EMAILDMI.COM <br /> SPRINGFIELD, IL 62703 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 210WV24523V <br /> Section Serial Number HUD Number • <br /> 1 FLE2100R22-22594A ORE 559295 <br /> 2 FLE2100R22-22594E ORE 559296 <br /> Original 2855 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination SUNSET VILLAGE County: Marion <br /> Address: 4915 SWEGLE NE RD, SPC 23 <br /> SALEM,OR 97301 <br /> Transporter: SUPERIOR TRANSPORT Phone: (541) 327-7805 <br /> • <br /> • <br /> • <br /> 2/21/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> • STANDARD <br />
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