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�of State of Oregon <br /> tti Department of Consumer and Business Services <br /> • II'I ,.�O% Building Codes Division <br /> II" *�.,�,. <br /> t ..,y3uri ;; <br /> te�r�.u •; 1535 Edgewater St NW <br /> ••' Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit 040 S <br /> (04 <br /> 23-01077-TRIP• <br /> on <br /> This_permit authorizes.a qualified transporter to move the identified sections of the identified home to a destination site within the U�, .. •_ <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: 2/7/23 Not Valid After Expiration Date: 3/8/23 <br /> • <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 <br /> • 12901 SE 97th Ave #100 Email: dasla©jandmhomes.com <br /> Clackamas, OR 97015 <br /> • <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: _ 72DRM14601BH23 <br /> Section Serial Number HUD Number <br /> 1 ALB042277OR <br /> Original 33213 34 HWY SE County: •Linn <br /> Address: Albany, OR 9732.2 <br /> Destination 12384 West Stayton RD County: Marion <br /> Address: Aumsville, OR 97325 <br /> Transporter: Lori Simon • Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 2/7/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />