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�o F State Of Oregon <br /> Department of Consumer and Business Services <br /> l Building Codes Division <br /> N�: ,;�;�, .;�r.2 1535 Edgewater St NW <br /> j • <br /> Mailing Address: PO Box 14470 <br /> 3:.59 g9 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 18-08392-TRIP d m 35540-75 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 8/14/18 Not Valid After Expiration Date: 9/13/18 <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97th Ave #100 Email: apowell@jandmhomes.com <br /> • Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: DRM 483F <br /> Section Serial Number HUD Number <br /> 1 ALB0380630RA <br /> 2 ALB038063ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> . Address: Albany, OR 97321 <br /> Destination Arrowhead Mobile Home Park County: Marion <br /> Address: 5422 Portland NE AVE, SPC 139 <br /> Salem,OR 97305 • <br /> Transporter: 3 &M Homes, LLC Phone: (503) 908-8166 <br /> Email: apowell@jandmhomes.com <br /> • <br /> • <br /> 8/14/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />