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State of Oregon <br /> Department of Consumer and Business Services <br /> IfiraX.011.1 Building Codes Division <br /> N! 0.IZ 1535 Edgewater St NW <br /> . � .� Mailing Address: PO Box 14470 <br /> •8 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 b S�S <br /> 23-10462-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the 5 5?-39 0 <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: 11/13/23 Not Valid After Expiration Date: 12/13/23 <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, HERMISTON Model: 55MSP28603AH20 <br /> Section Serial Number HUD Number <br /> 1 HER031767ORA <br /> 2 HER031767ORB <br /> Original 15815 S POPE LN County: Clackamas <br /> Address: OREGON CITY, OR 97045 <br /> Destination 8491 75TH NE AVE County: Marion <br /> Address: SALEM,OR 97305 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: dasla@jandmhomes.com <br /> 11/13/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />