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� State of Oregon <br /> i '�) Department of Consumer and Business Services <br /> =''+_ j'\ BuildingCodes Division <br /> h`!y'vrri� ' �z 1535 Edgewater St NW <br /> `r'c Mailing Address: PO Box 14470 <br /> C 8' 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 62 0 1 1 Co <br /> 24-03461-TRIP on <br /> 5ta5su <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 Date: 5/24/24 <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: 72DRM28483CH24 <br /> Section Serial Number HUD Number <br /> 1 ALB0431610RA NTA 2233320 <br /> 2 ALB043161ORB NTA 2233321 <br /> Original 33213 34 HWY SE County: Linn <br /> Address: Albany, OR 97322 <br /> Destination 8782 RAVENA N DR County: Marion <br /> Address: SALEM, OR 97303 <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 />