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g F a State of Oregon <br /> F' ;•a Department of Consumer and Business Services <br /> t _ � • <br /> i" ",O".. Building Codes Division <br /> `vYtcr )P N : '1'1'ii=r, •Z 1535 Edgewater St NW <br /> ••;wit''-, 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 /> • <br /> 24-04453-TRIP 1 <br /> This.permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the <br /> stake of Oregon. The section inove'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: 5/23/24 Not Valid After Expiration, Date: 6/22/24 <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, HERMISTON Model: Tempo- Under Pressure <br /> Section Serial Number HUD Number <br /> 1 HER0341440RA NTA2236684 <br /> 2 ' HER034144ORB NTA2236685 <br /> Original 400 W Elm AVE County: Umatilla <br /> Address: Hermiston, OR 97838 <br /> Destination 133 B Broadmore AVE, SPC B County: Marion <br /> Address: Salem,OR 97301 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: dasla@jandmhomes.com <br /> • <br /> • <br /> 5/23/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />