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• <br /> of \ State of Oregon <br /> \ Department of Consumer and Business Services <br /> rt/ Fa <br /> • ?- 'AA <br /> \01 Building Codes Division <br /> O <br /> F <br /> tolraIt <br /> r -�_ 1535 Edgewater St NW <br /> \•,',A? b' Mailing Address: PO Box 14470 <br /> gg _ 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, -7 8 Co <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 Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />