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State of Oregon <br /> \..r ,y • Department of Consumer and Business Services <br /> 71010-11.1 G BuildingCodes Division <br /> ywrflG SI , • <br /> 1535 Edgewater <br /> St NW <br /> "y�•:i <br /> •'•.;f`f;� Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> • <br /> Manufactured Structure Transportation Permit (4 I <br /> . . _. ._ 25-05190-TRIP • n . _ <br /> 5 (Qlt4S <br /> This permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the_ <br /> state of Oregon. The section.move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the.trahsporter during the actual move.This permit authorizes movement of all home sections <br /> Identified. - <br /> Issue Date: 6/11/25 . - Not Valid After Expiration Date: 7/10/25 <br /> Applicant: ] &M Homes, LLC Phone: (503) 908-8166 <br /> 15850 S. Pope Lane Email: dasla@jandmhomes.com <br /> Oregon City, OR 97045 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: 72TEM16602AH24 <br /> Section Serial Number HUD Number <br /> 1 ALB043704OR ORE 565253 <br /> Original 33213 34 HWY SE County: Linn <br /> Address: Albany, OR 97322 <br /> Destination i 13817 Shirley NE CT County: Marion <br /> Address: Hubbard, OR 97032 <br /> Transporter: Lori Simon Phone: (541) 928-1471 <br /> Email: Isimon@jandmhomes.com <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 6/11/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />