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o State of Oregon <br /> • 4i,. , Department of Consumer and Business Services <br /> ( /: 4f i' i. <br /> .1,' i.; Building Codes Division <br /> :F'�..$ii�3 �,• <br /> u1 Vrl 51'..; = 1535 Edgewater St NW <br /> �:1 <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 <br /> 24-01373-TRIP 1p 0 87 4 q <br /> This permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the Co. "ate of Or <br /> egon. ve regon. The section mo must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried`b the transporter during the actual move.This permit authorizes movement of all home sections <br /> Identified. <br /> Issue Date: 2/20/24 Not Valid After Expiration Date:,3/17/24 <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: 72PAR28563BH24 <br /> Section Serial Number HUD Number <br /> 1 ALB0431080RA <br /> 2 ALB043108ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination 11577 McClellan RD County: Marion <br /> Address: Aumsville, OR 97325 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> 2/20/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />