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• <br /> o F o State of Oregon <br /> 4ij;*yta \ Department of Consumer and Business Services <br /> Fiji r�� ?3 Building Codes Division <br /> Ui',;e fs�jyu°Tuy��Fyy.''IZ 1535 Edgewater St NW <br /> • ` �_' Mailing Address: PO Box 14470 <br /> ••6• 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 (, i <br /> 23-08160-TRIP b 3 f <br /> This permit authorizes a qualified transporter to move the Identified sections of the identified home to a destination site within the j 27 <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This peFmirmust lie cartiedr6y the-transporter during the actual move.This permit authorizes movement of all home sections <br /> identified..' <br /> Issue Date: 8/31/23 Not Valid After Expiration Date: 9/30/23 <br /> Applicant: 3 &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: 72DRM28563BH22 <br /> Section Serial Number HUD Number <br /> 1 ALB0419200RA NTA2120899 <br /> 2 ALB041920ORB NTA2120900 <br /> Original 33213 34 HWY SE County: Linn <br /> Address: ALBANY, OR 97322 <br /> Destination 5486 ANDERSON SE RD County: Marion <br /> Address: AUMSVILLE, OR 97325 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> 5 can n <br /> 8/31/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />