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�o F O State of Oregon <br /> Department of Consumer and Business Services <br /> ':6 44.1 Building Codes Division <br /> F � ` 1535 Edgewater St NW <br /> ,tfsl: �' 9 <br /> .; Mailing Address: PO Box 14470 <br /> =59 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 • <br /> 17-11257-TRIP `i <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 M 354 515 <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 12/4/17 Not Valid After Expiration Date: 12/30/17 <br /> Applicant: J & M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97th Ave #100 Email: apowell@jandmhomes.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: DRM-481A <br /> Section Serial Number HUD Number <br /> 1 ALB0372520RA <br /> 2 ALB0372520RB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 2977 Tide NE CT County: Marion <br /> Address: Salem, OR 97305 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: apowell@jandmhomes.com <br /> 12/4/17 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permlt_pr.rpt <br />