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• 0 <br /> of State of Oregon <br /> 4i4f� Department of Consumer and Business Services <br /> nrailWs itfl'O <br /> Building Codes Division <br /> N�\:•'3�'t.3 X 1535 Edgewater St NW <br /> ,�:�' Mailing Address: PO Box 14470 <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 <br /> 22-07773-TRIP <br /> �C7�jd`�� I <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: 7/27/22 Not Valid After Expiration Date: 8/25/22 <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: CHAMPION Model: 1222CT <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A101290A <br /> 2 245-000-H-A101290B - <br /> Original 550 Booth Bend RD County: Yamhill <br /> Address: McMinnville, OR 97128 <br /> Destination 5775 Huskey SE LN County: Marion <br /> Address: Aumsville,OR 97325 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> 7/27/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />