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of oN State of Oregon <br /> /4r.� Department of Consumer and Business Services <br /> 1,„t .•\\ Building Codes Division <br /> U1,AtA;gzF��:i 1535 Edgewater St NW <br /> \\\ <br /> '•!'7464f:/. <br /> `�.� . Mailing Address: PO Box 14470 <br /> \ 5 / Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit 00 <br /> 21-04881-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: 5/11/21 Not Valid After Expiration Date: 6/10/21 <br /> Applicant: RON CARMICKLE Phone: (503) 891-7740 <br /> PO BOX 83655 Email: RCARMICKLE@YAHOO.COM <br /> PORTLAND, OR 97286 <br /> Home Information: <br /> Home ID: 281087 <br /> Manufacturer: GOLDEN WEST Model: UNKNOWN <br /> Section Serial Number HUD Number <br /> 1 GW6CALGV10548AM <br /> 2 GW6CALGV10548AB <br /> Original 48203 KINGWOOD AVE County: Linn <br /> Address: MILL CITY, OR 97360 <br /> Destination 630 NORTH SANTIAM HWY County: Marion <br /> Address: GATES, OR 97346 <br /> Transporter: DOUGS MOBILE HOME SERVICE Phone: (541) 730-6191 <br /> • <br /> • <br /> 5/11/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />