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Last modified
2/23/2022 12:18:58 PM
Creation date
2/23/2022 12:18:57 PM
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Assessor
Account Number
602628
Assessor Doc Type
Trip Permit
Doc Type Date
2/17/2022
MTL
072W17CC12700
Assessor Section
Manufactured Structures
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0._. State of Oregon <br /> Department of Consumer and Business Services <br /> :fie � P <br /> iQ' t ;:yt Building Codes Division <br /> • <br /> t. 1utili't 1535 Edgewater St NW <br /> .;f` ;.•' / Mailing Address: PO Box 14470 <br /> • <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit a CO v- <br /> 22-01670-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 /> Issue Date: 2/18/22 Not Valid After Expiration Date: 3/19/22 <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, MARLETTE Model: 55CRC28483AH21 <br /> Section Serial Number HUD Number <br /> 1 HER0328480RA NTA2032883 <br /> • 2 HER032848ORB NTA2032884 <br /> Original 33213 34 HWY SE County: Linn <br /> Address: Albany, OR 97321 • <br />• <br /> Destination 4765 Elcedro NE ST County: Marion <br /> Address: Salem, OR 97305 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> 2/18/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />
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