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of State of Oregon <br /> Q Department of Consumer and Business Services <br /> / g \F <br /> Q/:MP-0g CI Building Codes Division <br /> ' 413 l'= 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 5• 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 /> 18-11103-TRIP <br /> ill 35Cpsdq <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: 10/23/18Not Valid After Expiration Date: 11/22/18 <br /> Applicant: J & M Homes, LLC Phone: (503) 908-8166 <br /> • <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, HERMISTON Model: 55MAJ40644AH17 <br /> Section Serial Number HUD Number <br /> 1 HER0303940RA ORE 533609 <br /> 2 HER030394ORB ORE 533610 <br /> 3 HER030394ORC ORE 533611 <br /> Original • 33213 34 HWY SE County: Linn <br /> Address: Albany, OR 97322 <br /> Destination 33503 Railroad AVECounty: Marion <br /> • <br /> Address: Gates, OR 97346 <br /> Transporter: J &M Homes, LLC Phone: (503) 908-8166 <br /> Email: apowell@jandmhomes.com <br /> • <br /> • <br /> 10/23/18 10:30 pm Page 1 of 1C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />