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F o\ State of Oregon <br /> -: -P Department of Consumer and Business Services <br /> Q� Yj��•'C� Building Codes Division <br /> 11'it. 'i.,.-. "t)Z' 1535 Edgewater St NW <br /> 'L a2 <br /> Mailing Address: PO Box 14470 <br /> �• B` 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 dq I <br /> 24-03436-TRIP I l <br /> o rl <br /> 51 ((acfb <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: 4/24/24 Not Valid After Expiration pate: 5 24 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: 72DRM28563CH24 <br /> Section Serial Number HUD Number <br /> 1 ALB043293ORA <br /> 2 ALB043293ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 10581 SARAGOTA NE DR County: Marion <br /> Address: SALEM,OR 97305 , <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> 4/24/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />