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of o State of Oregon <br /> tt Department of Consumer and Business Services <br /> c��.ars ; Building Codes Division <br /> .� ( Z 1535 Edgewater St NW <br /> � ' Mailing Address: PO Box 14470 <br /> I 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 /> Manufactured Structure Transportation Permit //�� Co0-09884-TRIP 3 V ` 4)- <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: 11/17/20 . Not Valid After Expiration Date: 12/5/20 <br /> • <br /> Applicant: DOUG WALTON Phone: (503) 799-0539 <br /> 12692 FRY RD Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 272500 <br /> Manufacturer: KINGWOOD Model: Unknown • <br /> Section Serial Number HUD Number <br /> 1 GDSTOR289214977A <br /> 2 GDSTOR289214977B <br /> Original 40179 MCKENZIE HWY County: Lane <br /> Address: SPRINGFIELD, OR 97478 <br /> Destination 727 TALBOT RD, SPC 9 County: Marion <br /> Address: JEFFERSON, OR 97352 <br /> Transporter: DOUGS MOBILE HOME SERVICES INC Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> 11/17/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> • <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />