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o F 0 State of Oregon <br /> Department of Consumer and Business Services <br /> 1-:tiNtAgEtNil Building Codes Division <br /> z 1535 Edgewater St NW <br /> •.; � � Mailing Address: PO Box 14470 <br /> 1:g9 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 /> 21-09959-TRIP • <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: 9/23/21 Not Valid After Expiration Date: 10/21/21 <br /> Applicant: DOUGS MOBILE HOME SERVICE Phone: (503) 799-0539 <br /> 12692 FRY RD NE Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 400447 <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 20910380TBA 467224 <br /> 2 20910380TBA 467225 <br /> Original 24924 ORCHARD TRACT RD County: Benton • <br /> Address: MONROE, OR 97456 <br /> Destination 20627 HWY 99E County: Marion <br /> Address: AURORA, OR 97002 <br /> Transporter: DOUGS MOBILE HOME SERVICE Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> 9/23/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />