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3 <br /> of State of Oregon <br /> /,c,�•,. <br /> A +, Department of Consumer and Business Services <br /> qi Ity -V3 '`G% Building Codes Division <br /> Fll v6ViAiiD <br /> N\: u ,:l,Z 1535 Edgewater St NW <br /> i' Mailing Address: PO Box 14470 <br /> 1`:=6 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 /> 19-07607-TRIP M talitN 1 <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: 8/6/19 Not Valid After Expiration Date:8/22/19 <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: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72INS15523AB19 <br /> Section Serial Number HUD Number <br /> 1 38850 <br /> 2 38850 <br /> Original 2445 PACIFIC BLVD County: Linn <br /> Address: ALBANY, OR 97321 <br /> Destination 5355 RIVER N RD,SPC 35 County: Marion <br /> Address: KEIZER,OR 97303 <br /> Transporter: DOUGS MOBILE HOME SERVICE, INC. Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> 8/6/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />