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o F o State of Oregon <br /> Department of Consumer and Business Services <br /> Building Codes Division <br /> a <br /> i!Lw�; .YtCfi--":' <br /> Z 1535 Edgewater St NW <br /> ' Mailing Address: PO Box 14470 <br /> i <br /> 8 5' 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 n rp1 <br /> 23-05263-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: 6/8/23 Not Valid After Expiration Date: 7 8 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 /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72DRM28483CH23 <br /> Section Serial Number HUD Number <br /> 1 ALB0424370RA NTA2171196 <br /> 2 ALB042437ORB NTA2171197 <br /> Original 33213 34 HWY SE County: Linn <br /> Address: Albany, OR 97322 <br /> Destination 133 Fir ST County: Marion <br /> Address: Gates, OR 97346 <br /> • <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> 6/8/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />