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F State of Oregon <br /> �: Department of Consumer and Business Services <br /> {� '� Building Codes Division <br /> 1. <br /> tn 1535 EdewaterStNW <br /> "••`tel :" • Mailing Address: PO Box 14470 <br /> 69/ 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 /> 21-00062-TRIP <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: 1/23/21 <br /> Applicant: KOWALSKI, LEO J. Phone: (503) 910-7325 <br /> 15363 HILLCREST LANE NE Email: LEOKOWALSKI34@GMAIL.COM <br /> SILVERTON, OR 97381 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SILVERCREST• Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 17706578 <br /> 2 17706578 <br /> Original 15362 HILLCREST LN SE County: Marion <br /> Address: SILVERTON, OR 97381 <br /> Destination 2917 N PACIFIC AVE County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Transporter: DOUGS MOBILE HOME SERVICE INC Phone: (503) 794-0539 <br /> Email: DUGWALTON@AOL.COM <br /> 1/5/21 10:30 pm Page 1 of 1 - C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit=pr.rpt <br />