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o F State of Oregon <br /> �.�� Department of Consumer and Business Services <br /> i <br /> �D ,0 <br /> �a,„C`� .:.\GN Building Codes Division <br /> r, '; 1535 Edgewater St NW <br /> • <br /> NI'.•` o �Z 9 <br /> \••• %W.:, <br /> Mailing Address: PO Box 14470 <br /> 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 /> • <br /> Manufactured Structure Transportation Permit <br /> 20-09687-TRIP ,✓77�� <br /> CbCOL1 <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: 11/12/20 Not Valid After Expiration Date: 12/10/20 <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 , <br /> _ 12901 SE 97th Ave #100 Email: tmelchior@jandmhomes.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72GSA30743DH20 <br /> Section Serial Number HUD Number <br /> 1 ALB0400470RA <br /> 2 ALB040047ORB <br /> 3 ALB040047ORC <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, Oregon 97321 • <br /> Destination 6022 Kiger SE WAY County: Marion <br /> Address: Salem, OR 97317 <br /> Transporter: J &M Homes,'LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> 11/12/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />