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I��� State of Oregon <br /> n .r. !• Department of Consumer and Business Services <br /> .l f 3 sWeA O Building Codes Division <br /> ..Y +r>>/.::z.I I 1535 Edgewater St NW <br /> •*•:<"-7 Mailing Address: PO Box 14470 <br /> 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 p <br /> 21-03940-TRIP (O i t 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: 4/16/21 Not Valid After Expiration Date: 5/16/21 <br /> Applicant: J &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, HERMISTON Model: 55FWK28563BH20 <br /> Section Serial Number HUD Number <br /> 1 HER0319640RA ORE550896 <br /> 2 HER031964ORB ORE550897 <br /> Original 33213 34 HWY SE County: Linn <br /> Address: ALBANY, Oregon 97322 <br /> Destination 138 Louisa ST County: Marion <br /> Address: Gates, OR 97346 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> • <br /> 4/16/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />