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. o State of Oregon <br /> i - Department of Consumer and Business Services <br /> 11g S Building Codes Division <br /> �H;f viers �1° <br /> u1,��V-�..•.�2 1535 Edgewater St NW <br /> . ;.• Mailing Address: PO Box 14470 <br /> �_•B' 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 /> (a 01344 <br /> 23-09958-TRIP <br /> This permit authorizes a qualified transporter to move the Identified sections of the Identified home to a destination site within the .(0C)15_ <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> Thk permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date:,10/26/23 Not Valid After Expiration Date: 11/25/23 <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: ING661M <br /> Section Serial Number HUD Number <br /> 1 ALB0427300RA <br /> Original 2445 PACIFIC BLVD County: Linn <br /> Address: ALBANY, OR 97321 <br /> Destination 22037 CARISSA NE AVE County: Marion <br /> Address: AURORA,OR 97002 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: dasla@jandmhomes.com <br /> • <br /> • <br /> • <br /> 10/26/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />