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O F o State of Oregon <br /> Department of Consumer and Business Services <br /> A/1=M \F <br /> • Cz '• 41 Building Codes Division <br /> • <br /> YIuY!�ry 11 <br /> ; >,„,•�;;: ../z 1535 Edgewater St NW <br /> 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 /> • <br /> Manufactured Structure Transportation Permit <br /> 20-10924-TRIP I J � 3g <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: 12/17/20 • Not Valid After Expiration Date: 1/11/21 <br /> Applicant: DOUGS MOBILE HOME SERVICES INC Phone: (000) 000-0000 <br /> 12692 FRY RD NE Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 257989 <br /> • <br /> Manufacturer: SILVERCREST Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 GR3056XY <br /> 2 GR3056XY <br /> Original 2917 N PACIFIC;HWY County: Marion <br /> Address: WOODBURN, OR 97071 • <br /> Destination 140 LOUISA ST County: Marion <br /> Address: GATES, OR 97345. <br /> Transporter: DOUGS MOBILE:HOME SERVICES INC Phone: (000) 000-0000 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> 0 Qac-, <br /> M °°-e <br /> (Vey../ go <br /> c?"CO • <br /> 0 o‘.N, 5 blas <br /> • <br /> cv <br /> • <br /> • <br /> 12/17/20 10:30 pm Page 1 of 1 C:\myReports/reports%/production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />