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- State of Oregon <br /> �,,"v � Department of Consumer and Business Services <br /> �Fltr21 7 1Ii. • Building Codes Division <br /> Ni; ORPAi �2 1535 Edgewater St NW <br /> `7y Mailing Address: PO Box 14470 <br /> '-'--.;1'9-‘...t•-2-q:•••:' <br /> 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 C <br /> 19-04141-TRIP 3 5, c) Z. <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of J <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: 5/3/19 Not Valid After Expiration Date: 6/2/19 <br /> Applicant: J & 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: ING761F <br /> Section Serial Number HUD Number <br /> 1 ALB0385330RA <br /> 2 ALB0385330RB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 <br /> Destination 6331 Brush Creek NE DR County: Marion <br /> Address: Silverton, OR 97381 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: bbaxter@jandmhomes.com <br /> 5/3/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />