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o F State of Oregon <br /> �j q��f Department of Consumer and Business Services <br /> A/: g � F <br /> Q1 3i.b2e il0 Building Codes Division <br /> N,:Nz '.ss .:iz 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 5'' 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 /> 21-10752-TRIP <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 /> • <br /> Issue Date: 10/18/21 Not Valid After Expiration Date: 11/17/21 <br /> Applicant: J.AND M Homes Phone: (503) 722-4500 <br /> 15815 Pope Ln Email:.salesserviceoc@jandmhomes.com <br /> Oregon City, OR 97045 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, HERMISTON Model: Marlette CR 2023 <br /> Section Serial Number • <br /> HUD Number <br /> 1 HER0328740RA <br /> 2 HER032874ORB <br /> • <br /> Original 400 W Elm AVE . County: Umatilla <br /> Address: Hermiston, OR 97838 <br /> Destination 779 NE Santiam BLVD County: Marion . • <br /> Address: Mill City,OR 97360 <br /> Transporter: 3 &M Homes, LLC . Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> Com` I <br /> j,) <br /> t <br /> • <br /> 10/18/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />