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• <br /> oF'_ o State of Oregon <br /> % rfi \� Department of Consumer and Business Services <br /> hK <br /> iae�t, ... OI Building Codes Division <br /> N%tE mai" ;= 1535 Edgewater St NW <br /> \\ T Mailing Address: PO Box 14470 <br /> i86• 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 /> �v .(sfS <br /> 21-07526-TRIP <br /> S 9'BS l `7 <br /> ' This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 7/21/21 • Not Valid After Expiration Date: 8/20/21 <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, ALBANY Model: 72DRM28443AH21 <br /> Section Serial Number HUD Number <br /> 1 ALB0408500RA <br /> 2 ALB0408500RB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination 225 Kinney N AVE County: Marion <br /> Address: Detroit, OR 97342 <br /> Transporter: J & M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> , <br /> • <br /> • <br /> 7/21/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />