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o F \ State of Oregon <br /> k,,rF1•F\ Department of Consumer and Business Services <br /> 7, Building Codes Division <br /> C <br /> i =':i2 1535 Edgewater St NW <br /> !!L no• i <br /> Mailing Address: PO Box 14470 <br /> 1 i 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 /> 18-05351-TRIP m 55 S 449 <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: 5/23/18 Not Valid After Expiration Date: 6/22/18 <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 /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72RSG28542AH18 <br /> Section Serial Number HUD Number <br /> 1 ALB0378540RA <br /> •2 ALB0378540RB <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 • <br /> Destination 4638 Deepwood NE PL County: Marion <br /> Address: Salem, OR 97305 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: apowell@jandmhomes.com <br /> • <br /> • <br /> • <br /> 5/25/18 9:49 am Page 1 of 1 C:\myReports/reports//production/01 <br /> • STANDARD REPORTS/std Trip_Permit_pr.rpt <br />