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of o State of Oregon <br /> Department of Consumer and Business Services <br /> Q;477 : 41 Building Codes Division t�\ rf� Iz 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> :59 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 ley1 ' 5142 c' <br /> 19-04063-TRIP g t 0175 <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: 5/2/19 Not Valid After Expiration Date: 6/1/19 <br /> Applicant: 3 &M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97th Ave #100 Email: bbaxter@jandmhomes.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: DRM 482F <br /> Section Serial Number HUD Number <br /> 1 ALB0386040RA <br /> 2 ALB038604ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: - Albany, OR 97321 <br /> Destination 2994 Ray Bell RD County: Marion <br /> Address: St Paul,OR 97137 <br /> Transporter: 3 & M Homes, LLC Phone: (503) 908-8166 <br /> Email: bbaxter@jandmhomes.com <br /> 5/2/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />