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6-7"›,) State of Oregon <br /> t`W �' Department of Consumer and Business Services <br /> ,-, fzl'•''' Building Codes Division <br /> , ',,Vtul`fiY"" <br /> N‘1, <br /> 1= _ X 1535 Edgewater St NW <br /> �j Mailing Address: PO Box 14470 <br /> 859' 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 /> 21-02529-TRIP 6, b O 4,-1 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: 3/11/21 Not Valid After Expiration Date:4/10/21 <br /> Applicant: 3 &M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97th Ave #100 Email: tmelchior©jandmhomes.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST,ALBANY Model: 72DRM28443AH21 <br /> Section Serial Number HUD Number <br /> 1 ALB040357ORA <br /> 2 ALB040357ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination 175 Cedar LN County: Marion <br /> Address: Gates, OR 97346 <br /> Transporter: 3 &M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior©jandmhomes.com <br /> 3/11/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />