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r^ <br /> • • <br /> State of Oregon <br /> • Department of Consumer and Business Services <br /> Ql,ee?jU 'sjl\4/ Building Codes Division <br /> �',•.Lrz��.':�Z • 1535 Edgewater St NW <br /> • ` ` � Mailing Address: PO Box 14470 <br /> �f 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 <br /> 22-01351-TRIP (49 ( 3C0 Dfl <br /> This:permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the a n <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. 1�� <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections S 1 <br /> identified. <br /> Issue Date: 2/10/22 Not Valid After Expiration Date: 3/11/22. <br /> • <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, 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 /> 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 /> 2/10/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />