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612429
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Last modified
9/26/2025 2:34:25 PM
Creation date
9/25/2025 10:01:35 AM
Metadata
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Template:
Assessor
Account Number
612429
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
9/22/2025
MTL
093E30DB03300
Assessor Section
Manufactured Structures
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.F State of Oregon <br /> /A1' Department of Consumer and Business Services <br /> F/ifaTI Y6s �0 Building Codes Division <br /> in; r•IF : 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> •869 Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Emall:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit i r 51�q 34 <br /> 25-08669-TRIP y\A S _ (o!a 4 a g <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: 9/23/25 Not Valid After Expiration Date: 10/23/25 <br /> Applicant: Melissa Pollman Phone: (503) 581-1597 <br /> • PMB 418, 4676 Commercial St. SE Email: conkraft@comcast.net <br /> Salem, OR 97302 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES OF WASHINGTON, Model: Unknown <br /> INC. <br /> Section Serial Number HUD Number <br /> 1 FLE2100R25-24755A ORE567753 <br /> 2 FLE2100R25-24755B ORE567754 <br /> Original 2655 Progressive WAY County: Marion <br /> Address: Woodburn, OR 97071 <br /> Destination 851 NW Alder ST County: Marion <br /> Address: Mill City, OR 97360 <br /> Transporter: Blue Haul Phone: <br /> • <br /> 9/23/25 10:30 pm • Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />
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