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F o State of Oregon <br /> Department of Consumer and Business Services <br /> : •',4� Building Codes Division <br /> 'arnr ' Z 1535 Edgewater St NW <br /> 1Lv= <br /> Mailing Address: PO Box 14470 <br /> 5 Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit a 62 eC1 - <br /> 23-03360-TRIP <br /> 5.44 q <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 tr'ahsporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue'Date: 4/13/23 Not Valid After Expiration Date: 5/12/23 <br /> Applicant: J &M Home , 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 ALB0424170RA <br /> 2 ALB042417ORB <br /> • <br /> Original 2445 SE Pacific BLVD County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 11667 GROUSE NE LN County: Marion <br /> Address: AURORA, OR 97072 <br /> Transporter: J'& M Homes, LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> • <br /> • <br /> 4/13/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />