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o F a State of Oregon <br /> .irA 1.1� Department of Consumer and Business Services <br /> .,:v1 :r"5_ *'17 p Building Codes Division <br /> SUN\; a m-. jr 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 /> Manufactured Structure Transportation Permit <br /> • <br /> 21-10522-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: 10/11/21 Not Valid After Expiration Date: 11/1/21 <br /> Applicant: DOUGS MOBILE HOME SERVICE INC Phone: (503) 799-0539 <br /> 12692 FRY RD NE Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 277904 . <br /> Manufacturer: FUQUA HOMES Model: Unknown . <br /> • <br /> Section Serial Number HUD Number <br /> 1 13232 ORE 362850 <br /> 2 13232 ORE 362851 <br /> Original 4735 SE TURNER RD County: Marion <br /> Address: SALEM, OR 97317 <br /> Destination 105 E SORBIN AVE County: Marion <br /> Address: GATES, OR 97346 <br /> Transporter: DOUGS MOBILE HOME SERVICE INC Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> • <br /> • <br /> • <br /> 10/11/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />