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(D9 <br /> 71-4� State of Oregon <br /> ,,,..:`,,A, <br /> Department of Consumer and Business Services <br /> iiir ='.. <br /> �� �ji�•• .` Building Codes Division <br /> il ++vrr�� 1535 Edgewater St NW <br /> T``� Mailing Address: PO Box 14470 <br /> • <br /> �� <br /> L. <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 YY1 V c 3 O� <br /> 20-00410-TRIP <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: 1/14/20 Not Valid After Expiration Date: 2/13/20 <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: 72ING24362AH20 <br /> Section Serial Number HUD Number <br /> 1 ALB039199ORA <br /> 2 ALB039199ORB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: ALBANY, Oregon 97321 <br /> Destination Rainbow Gardens Mobile Village County: Marion <br /> Address: 1139 Chemawa NE LOOP <br /> Keizer, OR 97303 <br /> Transporter: 3 & M Homes, LLC Phone: (503) 908-8166 <br /> Email: bbaxter@jandmhomes.com <br /> 1/14/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />