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I. <br /> State of Oregon <br /> �• - Department of Consumer and Business Services <br /> $ ; " Building Codes Division <br /> -,° 1535 Edgewater St NW <br /> F' -' I <br /> �.�/uTiJJ <br /> \II.N1 <br /> ;,, ., Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Email:mhods.bcd@oregon.gov <br /> Web:mhods.oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 19-10567-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: 10/23/19 Not Valid After Expiration Date: 11/18/19 <br /> 503 <br /> Applicant: DOUGS MOBILE HOME SERVICES INC Phone: (503) 799-0539 <br /> 12692 FRY RD Email: DUGWALTON@AOL.COM <br /> AURORA, OR 97002 <br /> Home Information: <br /> Home ID: 267503 <br /> Manufacturer: FLEETWOOD HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 WAFLM31A10124WC <br /> 2 WAFLM31B10124WC <br /> Original 30955 SW FIR AVE County: Clackamas <br /> Address: WILSONVILLE, OR 97070 <br /> Destination 2917 N PACIFIC HWY County: Marion <br /> Address: WOODBURN,OR 97071 <br /> Transporter: DOUGS MOBILE HOME SERVICES INC Phone: (503) 799-0539 <br /> Email: DUGWALTON@AOL.COM <br /> Page 1 of 1 C:\myReports/reports//production/01 <br /> 10/23/19 10:30 pm STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />