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• <br /> OF State of Oregon <br /> j Department of Consumer and Business Services <br /> • Q A s:;i: Building Codes Division <br /> .f�; <br /> F1v6' Z 1535 Edgewater St NW <br /> - Mailing Address: PO Box 14470 <br /> 59 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 0-1 3 <br /> 23-04747-TRIP <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: 5/24/23 Not Valid After Expiration Date: 6/23/23 <br /> Applicant: J & M Homes, LLC Phone: (503) 908-8166 <br /> 1.5850 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: 72ING42603AH23 <br /> Section Serial Number HUD Number <br /> 1 ALB0423940RA NTA2163451 <br /> 2 ALB042394ORB NTA2163452 <br /> 3 ALB042394ORC NTA2163453 <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination • 6217 Stayton SE RD County: Marion <br /> Address: Turner, OR 97392 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 5/24/23.10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> • <br /> STANDARD <br />