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• <br /> • <br /> o F State of Oregon <br /> f' S��sf3 <br /> 7�v�r c•Vi Department of Consumer and Business Services <br /> .t1 BuildingCodes Division <br /> �f <br /> fi'�f!!r'rG'�' ;z 1535 Edgewater St NW <br /> 1R1.`u^�r <br /> Mailing Address: PO Box 14470 <br /> g9 Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> • <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit (pay(p q , <br /> • 23-04237-TRIP <br /> 5-98 �8 <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'perrnit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified.' <br /> Issue Date: 5/10/23 Not Valid After Expiration Date: 6/9/23 <br /> Applicant: J &M Homes, LLC , Phone: (503) 908-8166 <br /> 15850 S. Pope Lane Email: dasla@jandmhomes.com <br /> Oregon City, OR 97045 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72PAR28563BH23 <br /> Section Serial Number HUD Number <br /> 1 ALB042504ORA <br /> 2 ALB042504ORB • <br /> • <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination 135 Tumble DR County: Marion <br /> Address: Detroit, OR 97342 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> 5/10/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />