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356053
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Last modified
1/13/2022 5:59:48 AM
Creation date
10/10/2018 1:36:48 PM
Metadata
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Template:
Assessor
Account Number
356053
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
9/21/2018
MTL
042W050001300
Assessor Section
Manufactured Structures
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• State of Oregon <br /> - Department of Consumer and Business Services <br /> Building Codes Division <br /> 0\; • = 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 1859 - 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 /> 18-10031-TRIPS D053 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 9/21/18 Not Valid After Expiration Date: 9/30/18 <br /> Applicant: Superior Home Transport LLC Phone: (503,) 551-3454 <br /> 257 N. 6th. st. Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 • <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: MARIN <br /> Section Serial Number HUD Number <br /> 1 FLE2100R18-19200A ORE 542541 <br /> 2 FLE2100R18-19200B ORE 542542 <br /> Original 2555 PROGRESS WAY County: Marion • <br /> Address: WOODBURN, OR 97071 <br /> Destination 5828 CHAMPOEG RD County: Marion <br /> Address: ST PAUL, OR 97137 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> \\@•N <br /> 5I � � <br /> 5a5(6 <br /> Q1 <br /> 9/21/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />
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