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Last modified
11/19/2024 11:03:27 PM
Creation date
11/19/2024 12:27:39 PM
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Template:
Assessor
Account Number
611264
563640
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
11/14/2024
MTL
092W13DA01100
Assessor Section
Manufactured Structures
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• <br /> o o State of Oregon <br /> (v . Department of Consumer and Business Services <br /> te it a Building Codes Division <br /> N,�•furl y_z, :2i 1535 Edgewater St NW <br /> .`��'_•. Mailing Address: PO Box 14470 <br /> • <br /> • 6 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 /> 24-10150-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the L — 5G93640 <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: 11/15/24 Not Valid After Expiration Date: 12/14/24,. <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: 72DRM28563BH24 <br /> Section Serial Number HUD Number <br /> • <br /> 1 ALB0438150RA <br /> • <br /> 2 ALB043815ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination 11556 McClellan SE LN County: Marion <br /> Address: Aumsville, OR 97325 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> 11/15/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 . <br /> STANDARD <br />
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