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C <br /> o F_ o State of Oregon <br /> �uj '"' �,.`,\ Department of Consumer and Business Services <br /> ._ _ Building Codes Division <br /> F(;t` " s 'i:!O• <br /> xrmrs I <br /> tll`.:!�_�a; 2 • 1535 Edgewater St NW <br /> .,*:may,'/ Mailing Address: PO Box 14470 <br /> •B' 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 3(0° <br /> 22-03486-TRIP 3$c. , <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: 4/8/22 ' Not Valid After Expiration Date: 5/7/22 <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 /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: Dream <br /> Section Serial Number HUD Number <br /> 1 ALB0415520RA NTA2094902 <br /> Original 23445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 20776 NE Abiqua RD County: Marion <br /> Address: Scotts Mill, OR 97375 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> 1 <br /> 4/8/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />