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(-0' <br /> 61-E.__ State of Oregon <br /> • i .,; Department of Consumer and Business Services <br /> 17AZ1 ;i41 Building Codes Division <br /> N`t... .011-.1.- iii. 1535 Edgewater St NW <br /> ', Mailing Address: PO Box 14470 <br /> l•c 6' 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 i 0 3c0;18 <br /> 22-05793-TRIP /' 5 4 1,�33 <br /> .This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 1, <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: 6/6/22 Not Valid After Expiration Date: 7/3/22 <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 <br /> 1 • 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: 72PAR28563GH22 <br /> Section Serial Number HUD Number <br /> 1 . ALB0416580RA <br /> 2 ALB041685ORB • <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 26302 Sitkum SE ST County: Marion <br /> Address: Lyons, OR 97358 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> 6/6/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />