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o F State of Oregon <br /> s. \IF Department of Consumer and Business Services <br /> /; .O Building Codes Division <br /> F'' 'r+unr;.'Z 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 69 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 /> • <br /> Manufactured Structure Transportation Permit <br /> 20-06764-TRIP • Pn 1 3D 55 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of tAjW <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. g 4 ©A-3 <br /> Issue Date: 8/19/20 Not Valid After Expiration Date:9/14/20 <br /> Applicant: DOUGS MOBILE HOME SERVICE Phone: (503) 799-0539 <br /> 12692 FRY RD NE Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 272910 <br /> Manufacturer: GUERDON Model: Unknown <br /> Section Serial Number HUD Number <br /> I 1 GSTOR239315819 <br />� 2 GSTOR239315819 <br /> • <br /> Original 1965 NE CLAXTER ST County: Marion <br /> Address: SALEM, OR 97305 <br /> Destination 2917 N PACIFIC HWY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Transporter: DOUGS MOBILE HOME SERVICE Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> 8/19/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />