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o_o State of Oregon <br /> - ; +. Department of Consumer and Business Services <br /> Q'".101.1 Building Codes Division <br /> IF,• � 16.1 : 1535 Edg <br /> ewater gewater St NW <br /> • Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Emall:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit (9 I 1 3 5 q <br /> • 25-00814-TRIP p n <br /> S l 68 a° <br /> This permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 1/28/25 Not Valid After Expiration Date: 2/27/25 <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 <br /> 15850 S. Pope Lane Email: dasla@jandmhomes.com <br /> Oregon City, OR 97045 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH`MFG WEST, ALBANY Model: 72DRM28563CH25 <br /> Section Serial Number HUD Number <br /> 1 ALB0439630RA <br /> 2 ALB043963ORB <br /> Original 2445 Pacific BLVD SW County:ty: Linn <br /> Address: Albany, OR 97321 <br /> Destination 10256 Mohawk NE ST County: Marion <br /> Address: Silverton,OR 97381 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> 1/28/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />