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o FState of Oregon <br /> � V \� <br /> Department of Consumer and Business Services <br /> (i..."40441.1\0 Building Codes Division <br /> N': erar��..1Z 1535 Edgewater St NW <br /> SPx ., <br /> `,.‘\•.4k,.44..,.,:,/ <br /> •.,' ;.// <br /> Mailing Address: PO Box 14470 <br /> 4•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 m 3(003466) <br /> • 20-06714-TRIP <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: 8/18/20 Not Valid After Expiration Date: 9/3/20 <br /> Applicant: DOUGS MOBILE HOME SERVICE INC Phone: (503) 799-0539 <br /> 12692 FRY RD NE Email: DOUGWALTON@AOL.COM <br /> AURORA, OR 97002 . <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: GUERDON Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 GSSTOR129315600 ' • <br /> Original 4558 FALCON•ST County: Lane <br /> Address: FLORENCE, OR 97846 <br /> Destination 12654 WOODPECKER DR County: Marion <br /> Address: TURNER, OR 97392 <br /> Transporter: DOUGS MOBILE HOME SERVICE INC Phone: (503) 799-0539 <br /> Email: DOUGWALTON@AOL.COM <br /> 1. <br /> 8/18/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />