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o F o • State of Oregon <br /> Department P <br /> artment of Consumer and Business Services <br /> Q: is•P BuildingCodes Division <br /> �� fi.�iiris�'�:�D <br /> ���.'4ituTif <br /> u1,''. `!` 4 2 - 1535 Edgewater St NW <br /> '•., Mailing Address: PO Box 14470 <br /> /:59 Salem, OR 97309-0404 <br /> (503)378-4530, FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.goi <br /> Manufactured Structure Transportation Permit r - <br /> 21-10488-TRIP (t)0 3(Cl O.1 <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: 10/8/21 Not Valid After Expiration Date: 11/5/21 <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: SP2866F <br /> Section Serial Number HUD Number <br /> 1 ALB040434ORA <br /> 2 ALB040434ORB <br /> • <br /> Original 2445 Pacific BLVD • <br /> County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 4730 Auburn RD, SPC 2 County: Marion <br /> Address: Salem, OR 97301 • <br /> Transporter: ] & M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> 10/8/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />