Laserfiche WebLink
F_ o State of Oregon <br /> g_ <br /> +����•'•• Department of Consumer and Business Services <br /> Building Codes Division <br /> N; !�!'JG •�= 1535 Edgewater St NW <br /> 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 I <br /> 21-12634-TRIP l0 <J <br /> C OC►/'1q j <br /> This permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the J ` ` P C` <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: 12/9/21 Not Valid After Expiration Date: 1/7/22 <br /> Applicant: ) &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: 55CRC28483AH22 <br /> Section Serial Number HUD Number <br /> 1 HER033073ORA <br /> 2 HER033073ORB <br /> Original 400 W Elm AVE County: Umatilla <br /> Address: Hermiston, OR 97838 • <br /> Destination 15989 Gescher SE LN County: Marion <br /> Address: Sublimity, OR 97385 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> 12/9/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />