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• <br /> o F o State of Oregon <br /> .. <br /> /.//4.:41't\ <br /> a1Department of Consumer and Business Services <br /> /I <br /> q' 1R1.1'P Building Codes Division <br /> Nt:▪ r!?!Lk v •;Z 1535 Edgewater St NW <br /> �• .`��•; Mailing Address: PO Box 14470 <br /> 859 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 /> 21-08558-TRIP Oal-/ <br /> f <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> . identified. <br /> Issue Date: 8/18/21 Not Valid After Expiration Date: 9/10/21 <br /> Applicant: DOUGS MOBLE HOME SERVICE INC Phone: (503) 799-0539 <br /> 12692 FRY ROAD Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 2191 0846MA ORE 407920 <br /> 2 2191 0846MB ORE 407921 <br /> Original 61658 E COTTONWOOD RD County: Clackamas <br /> Address: BRIFGHTWOOD, OR 97011 <br /> Destination 6325 HAZELGREEN NE RD County: Marion <br /> Address: 'SALEM, OR 97305 <br /> Transporter: DOUGS MOBLE HOME SERVICE INC Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> • <br /> • <br /> • <br /> 8/18/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />