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O F State of Oregon <br /> /�� k` ,,* , Department of Consumer and Business Services <br /> : sl'P Building Codes Division <br /> Ni1r '1!Z 1535 Edgewater St NW <br /> ;•, � Mailing Address: PO Box 14470 <br /> `=� Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> . Manufactured Structure Transportation Permit (0 , 1 9 O D <br /> 25-03678-TRIP f/-�0 r <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: 4/25/25 Not Valid After Expiration Date:.4/25/25 <br /> Applicant: DOUG'S MOBILE HOME SERVICE INC. Phone: (503) 799-0539 <br /> 12692 FRY ROAD NE Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 222112 <br /> • <br /> Manufacturer: GOLDEN WEST Model: Unknown <br /> Section Serial Number HUD Number • <br /> 1 GW6CAL62337A <br /> 2 GW6CAL62337B <br /> Original 13640 SE 212 HWY SPC 127 County: Columbia <br /> Address: CLACKAMAS, OR 97015 <br /> Destination 118 GATES HILLL RD County: Marion <br /> Address: GATES,OR 97436 <br /> Transporter: DOUG'S MOBILE HOME SERVICE INC. Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> • <br /> 4/25/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />