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• <br /> o F State of Oregon <br /> Department of Consumer and Business Services <br /> / F e Building Codes Division <br /> N, ! ti�� 1535 Edgewater St NW <br /> ; ; :; <br /> *,•• •,, Mailing Address: PO Box 14470 <br /> j: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 /> 20-06827-TRIP ✓ l i ' ✓5B 3 oZt <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: 8/20/20 Not Valid After Expiration Date: 9/19/20 <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97th Ave #100 Email: dcallahan@jandmhomes.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72DRM28684AH20 <br /> Section Serial Number HUD Number <br /> 1 ALB0397960RA <br /> 2 ALB039796ORB • <br /> • <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: ALBANY, Oregon 97321 <br /> • <br /> Destination 15356 Waldo Hills SE DR County: Marion <br /> Address: Sublimity, OR 97385 <br /> Transporter: J &M Homes,.4C Phone: (503) 908-8166 <br /> Email: dcallahan@jandmhomes.com • <br /> • <br /> • <br /> 8/20/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />