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jF o State of Oregon <br /> • 4•j •� Department of Consumer and Business Services <br /> BuildingCodes Division <br /> :,0 <br /> N�, �z :._. 1535 Edgewater St NW <br /> l , • <br /> Mailing Address: PO Box 14470 <br /> 9 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 VLj B ?(p <br /> • <br /> • <br /> 23-05038-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 /> S.. <br /> Thls permit must be-carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> Identified:' <br /> Issue'Date: 6/2/23 Not Valid After Expiration_Date,: <br /> • <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, HERMISTON Model: 55CRC28603AH23 <br /> Section Serial Number HUD Number <br /> 1 HER0337000RA <br /> 2 HER0337000RB <br /> Original 400 W Elm AVE County: Umatilla <br /> Address: Hermiston, OR 97838 <br /> Destination 12242 Selah Springs NE RD County: Marion <br /> Address: Silverton, OR 97381 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> 6/2/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />