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o F o, State of Oregon <br /> rvi ".2 `' Department of Consumer and Business Services <br /> c ;011....,,- til'a Building Codes Division <br /> ary�if i <br /> N;1....-WV. 2 1535 Edgewater St NW <br /> •';'.4.4W..7 Mailing Address: PO Box 14470 <br /> N :-6- 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 ^r � <br /> 22-09995—TRIP "� "j}' 3.77 <br /> . CS [d13'� <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 /> Tliis'permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 9/22/22 Not Valid After Expiration Date: 10/21/22 <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, ALBANY Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 ALB0419540RA . <br /> Original 2445 SW Pacific BLVD County: Linn <br /> Address: Albany, OR 97321 <br /> • <br /> Destination 12765 S Moniter McKee RD County: Marion <br /> Address: Woodburn, OR 97071 <br /> • <br /> Transporter: J & M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior©jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> 9/22/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> • STANDARD <br />