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F State of Oregon <br /> • Department of Consumer and Business Services <br /> c% �r!saa <br /> FIS •;;. Building Codes Division <br /> , v+urnii <br /> 1535 Edgewater <br /> I`,��m��•- 1 �I ` St NW <br /> D Mailing Address: PO Box 14470 <br /> 59 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 /> 21-00077-TRIP 1, <br /> -)A, <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: 1/5/21 Not Valid After Expiration Date: 1/30/21 <br /> • <br /> Applicant: DOUGS MOBILE HOME SERVICEE Phone: (503) 799-0539 <br /> 12692 FRY RD• Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: SILVERCREST Model: Unknown <br /> Section Serial Number • HUD Number <br /> 1 17706578 <br /> 2 167706578 <br /> Original 15362 NE HILLCREST LN County: Marion <br /> Address: SILVERTON, OR 97381 • <br /> Destination 131 LOUISA ST County: Marion <br /> Address: GATES,OR 97346 <br /> Transporter: DOUGS MOBILE HOME SERVICEE Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> • <br /> • <br /> • <br /> 1/5/21 10:30.pm s Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />