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o r o State of Oregon <br /> ;� Department of Consumer and Business Services <br /> Q;�y� `>�•r Building Codes Division <br /> O -'- ?:+Z 1535 Edgewater St NW <br /> .!f Mailing Address: PO Box 14470 <br /> 85 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 ! <br /> 23-04975-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: 6/1/23 Not Valid After Expiration Date: 6/30/23 <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: 72DRM28443AH23 <br /> Section Serial Number HUD Number <br /> 1 ALB0424380RA <br /> 2 ALB0424380RB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 • <br /> Destination 315 Clester RD 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 /> • <br /> • <br /> 6/1/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />