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• <br /> • <br /> o F State of Oregon <br /> 4/i +' Department of Consumer and Business Services <br /> Building Codes Division <br /> U11: orfµ •,.. 2 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 869 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 /`� L�_ <br /> 21-08122-TRIP V v o `- <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 55 S 0 <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: 8/5/21 Not Valid After Expiration Date: 9/4/21 <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: 72DRM24503AH21 <br /> Section" Serial Number HUD Number <br /> 1 ALB0408220RA NTA2035190 <br /> 2 ALB040822ORB NTA2035191 <br /> original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> • <br /> Destination 21845 Ferry SE RD County: Marion <br /> Address: Stayton, OR 97383 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com • <br /> • <br /> • <br /> • <br /> 8/5/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />