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360220
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Last modified
10/21/2021 9:01:05 AM
Creation date
8/18/2020 11:34:51 AM
Metadata
Fields
Template:
Assessor
Account Number
360220
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
8/17/2020
MTL
103W11AD00900
Assessor Section
Manufactured Structures
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v F State of Oregon <br /> "*"."1. Departme <br /> ."1. Department of Consumer and Business Services <br /> Building Codes Division <br /> t . r iZ 1535 Edgewater St NW <br /> to i'R. -�- ��Z <br /> . Mailing Address: PO Box 14470 <br /> 9 <br /> y Salem,OR 97309-0404 <br /> • <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 /> 20=06664-TRIP 10(1'3 ,c -U <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of e3I <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: 8/17/20 Not Valid After Expiration Date:9/14/20 <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: PALM HARBOR Model: 3104G28463A <br /> Section Serial Number HUD Number <br /> 1 PHH3100R20-14062A ORE 553063 <br /> 2 PHH3100R20--140628 ORE 553064 <br /> Original 590 N PACIFIC HWY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 180 N MAIN ST County: Marion <br /> Address: JEFFERSON, OR:97352 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> • <br /> • <br /> 8/17/20 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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