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• <br /> $F _ o State of Oregon <br /> F.i +\ Department of Consumer and Business Services <br /> 71(t , <br /> Ql;.��r�, s7,10 Building Codes Division <br /> 11"• vni:1R,t; <br /> 1535 Edgewater St NW <br /> `\\ Mailing Address: PO Box 14470 <br /> • •a6' 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 D---1 -7 <br /> 21-08134-TRIP <br /> • <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: 8/5/21 Not Valid After Expiration Date: 9/4/21 <br /> Applicant: TORAN FEODOR A Phone: (503) 983-8722 <br /> 10589 CARBON LN NE Email: DERFNAROT@GMAIL,COM <br /> SALEM, OR 97305 • <br /> Home Information: <br /> Home ID: 211432 <br /> Manufacturer: CMH MFG WEST, MARLETTE Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 H011119A • <br /> 2 H011119B <br /> Original 1610 NW SCENIC DR County: Benton <br /> Address: ALBANY, OR 97321 <br /> Destination 10539 CARBON LN County: Marion <br /> Address: SALEM, OR 97305 <br /> Transporter: DOUGS MOBILE HOME SERVICE INC Phone: (503) 799-0539 • <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> • <br /> 8/5/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />