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359a31 <br /> State of Oregon <br /> Or--, <br /> a`§� Department of Consumer and Business Services <br /> .l'e.iti �y�t�pper':�G. • <br /> Building Codes Division <br /> pr�ray� :j 1535 Edgewater St NW <br /> uSl:. iSs <br /> � _°o :lX _ <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 /> 20-09067-TRIP <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 theactual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 10/23/20 Not Valid After Expiration Date: 11/22/20 <br /> Applicant: J &M Homes, LLC Phone: (503) 908-8166 <br /> 12901 SE 97thAve • #100 Email: tmelchior@jandmhomes.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: CMH MFG WEST, ALBANY Model: DRM561M <br /> Section Serial Number ' HUD Number <br /> 1 ALB0396900RA <br /> • <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 213 Wildwood AVE County: Marion <br /> Address: Idanha, OR 97350 <br /> Transporter: 3 & M Homes,,LLC Phone: (503) 908-8166 <br /> Email: tmelchior@jandmhomes.com <br /> • <br /> 10/23/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />