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• <br /> State of Oregon <br /> z1ti. !to Department of Consumer and Business Services <br /> 1 YiV4 Building Codes Division <br /> ;;;S:SA iz 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 69 Salem,OR 97309-0404 <br /> • (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 26 03172 TRIP <br /> 0 IA G <br /> This,permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 5 F 8S-7q <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: 4/15/26 Not Valid After 26 Expiration Date: 5 14 <br /> p / / <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 /> Home Information: <br /> Home ID: Unknown <br /> • <br /> Manufacturer: CMH MFG WEST,ALBANY Model: 72DRM28563DH26 <br /> Section Serial Number HUD Number <br /> 1 ALB0450970RA ORE571397 <br /> 2 ALB045097ORB ORE571398 <br /> Original 2445.PACIFIC BLVD SW County: Linn <br /> Address: ALBANY, OR 97321 <br /> Destination 268 Dogwood DRMarion <br /> 9 County: <br /> Address: Gates,OR 97346 <br /> Transporter: LORI SIMON Phone:.(541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> 4/15/26 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />