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HomeMy WebLinkAboutPermit Correspondence 2007-9-12 ;' ;~ . City of Springfield Voucher Payment Message: Refund Comments: Cancelled project . 5108 Daisy Street 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000001024 Date: 08/10/2007 Job/Journal Number COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 COM2007-01047 ;.COM2007-01047~ COM2007-01047 COM2007-01047 Description Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Vent Fan Minimum! Adjustment Mechanical -Mechanical Issuance Fee- .+5% Technology Fee + 8% State Surcharge + 10% Administrative Fee &+'10 - 00000" 44i 02.~ ~l.l'2. - 00000 " &.(-~~ 01"f- L.l4~ - OOC)OO - "'4~ 0 25 '1" - 00000 - ~~(.,"o4f Payments: Type of Payment Check Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By JACK SMITH Ilh 5290 In Person Payment Total: cReceintl ~)v~-t ~~tlW- ;rl . () ~\eRSt \t~ \N. \1)% t~~ 4"~C05 -,~ ~: 0 t:Dfo ~~ J-rZ<> &o~ - 12-/ \D ~l... eJ5!o ~ec.Nln~ <Jmoq-221 L\().DJ \c0'b ~\(lle~ ZIS-004-JllQ.'lA4.. ~O \)\\)({\'o\~ 47-~&o3- Pi uA,cO .. t~ ~ ~'rlq ~ - 2Jj). 'l.lo 1'~ed ~ M ~OS)\~E- ~~ ~ · ~gelo~'~\ n 1~3~7S- 11:00:l1AM Amount Due 5.40 49.83... 214.67 163.23 ~. 21.39 -' 213.02 80.00 7.00 43.00 20.00 ,.;' .:T7.l5-~ 27.44 34.84 $896.97 Amount Paid $896.97 $896.97 ., 8/10/2007