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• <br /> • <br /> co...;_ o State of Oregon <br /> Muir •, .� Department of Consumer and Business Services <br /> * �~'•.'� Building Codes Division <br /> ,,, • 1535 Edgewater St NW <br /> �'•. ` ,: • Mailing Address: PO Box 14470 <br /> F 9' ; 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 /> 22-01351-TRIP (, V 3(0 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 6 n <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 5 5 1 <br /> identified. <br /> Issue Date: 2/10/22 Not Valid After Expiration Date: 3/11/22. <br /> Applicant: 3 &M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97th Ave #100 Email: tmelchior@jandmhomes.com <br /> Clackamas, OR 97015 • <br /> • <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: CMH MFG WEST, HERMISTON Model: 55CBC28483AH22 <br /> Section Serial Number HUD Number <br /> 1 HER0332450RA . <br /> 2 HER0332450RB <br /> • <br /> Original 400 W Elm AVE County: Umatilla <br /> • <br /> Address: Hermiston, OR 97838 <br /> Destination 26032 Sitkum SE ST County: Marion <br /> Address: Lyons, OR 97358 • <br /> Transporter: Lori Simon • Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 2/10/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> • STANDARD <br />