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.F o ' State of Oregon <br /> \:� + Department of Consumer and Business Services <br /> Building Codes Division <br /> �,f--�:;,,:1.2 1535 Edgewater St NW <br /> .�.� Mailing Address: PO Box 14470 <br /> -,4' 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 /> 24-04624-TRIP 6. . <br /> oil <br /> This permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the �, ate® —_ <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: 5/30/24 Not Valid After Expiration Date: 6/28/24 <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: 72TEM16602AH23 <br /> Section Serial Number HUD Number <br /> 1 ALB0426480R NTA2182302 <br /> Original 33213 34 HWY SE County: Linn <br /> • <br /> Address: Albany, OR 97322 <br /> Destination 19290 Fobert RD County: Marion <br /> Address: Hubbard, OR 97032 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> 5/30/24.10:30 om Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />