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0 o State of Oregon <br /> - s Department of Consumer and Business Services <br /> Q• <br /> � � UP/ 1.1 c' Building Codes Division <br /> :lL� Ca° � Z� 1535 Edgewater St NW <br /> .. •; �� Mailing Address: PO Box 14470 <br /> 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 (7 C 83 88 <br /> 23-08629-TRIP <br /> S - -k <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: 9/13/23 Not Valid After Expiration Date: 10/13/23 <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: 72DRM28563DH23 <br /> Section Serial Number HUD Number <br /> 1 ALB042803ORA <br /> 2 ALB042803ORB <br /> original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97358 <br /> Destination 22988 North Fork SE RD County: Marion <br /> Address: Lyons, OR 97358 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> 9/13/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br /> I <br />