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of O State of Oregon <br /> ' ��: a PF Department of Consumer and Business Services <br /> ICS s - <br /> Building Codes Division <br /> yl,; li°r*i*i1 • <br /> Z 1535 Edgewater St NW <br /> •. ••• � • Mailing Address: PO Box 14470 <br /> • I:59 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov - Emeil:mhodsbcd@oregon.gov <br /> Manufactured Structure Transportation Permit 3 Q <br /> 19-00760-TRIP nn- 5 71 <br /> This permit authorizes a qualified transporter to move the Identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 1/23/19 Not Valid After Expiration Date: 1/23/19 <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: 396655 <br /> Manufacturer: CMH MFG WEST, MARLETTE Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 H019749A <br /> 2 H019749B <br /> 3 H019749C <br /> Original 31010 PETERSON RD County: Benton <br /> Address: PHILOMATH, OR 97370 <br /> Destination 2917 PACIFIC HWY County: . Marion <br /> Address: WOODBURN,OR 97071 <br /> `Transporter: DOUGS MOBILE HOME SERVICE INC Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> 1/23/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />