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604814
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Last modified
4/4/2022 9:49:42 AM
Creation date
4/4/2022 9:49:42 AM
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Assessor
Account Number
604814
Assessor Doc Type
Trip Permit
Doc Type Date
3/30/2022
MTL
031W33CB05500
Assessor Section
Manufactured Structures
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o F o State of Oregon <br /> Department of Consumer and Business Services <br /> 41fii%P Building Codes Division <br /> 9 <br /> N• Z 1535 Ed ewater St NW <br /> Mailing Address: PO Box 14470 <br /> • <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.gov <br /> Manufactured Structure Transportation Permit (00 4 4 4 <br /> 22-03244-TRIP <br /> 544 be L <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: 4/1/22 • Not Valid After Expiration Date:4/30/22 <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: Schult FWk 2848-C <br /> Section Serial Number HUD Number <br /> 1 HER0332490RA NTA2073588 <br /> 2 HER0332490RB NTA2073589 • <br /> Original 400 W Elm AVE, County: Umatilla <br /> Address: Hermiston, OR 97838 <br /> Destination 11655 Bunting LN County: Marion <br /> Address: Aurora, OR 97002 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> • <br /> • <br /> • <br /> 4/1/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />
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