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Permit Building 2005-12-12 (2)
, 225 Fifth Street' ' . , Springfield, Oregon 97477 541-726-3759 Phone ': ,l ( .' JoblJournal Number COM2005-01487 COM2005-0 1487 COM2005-0 1487 COM2005-0 1487 COM2005-0 1487 COM2005-0 1487 COM2005-0 1487 ., CpM2005-0 1487 COM2005-01487 COM2005-0 1487 COM2005-0 1487 COM2005-01487 cOM2005-01487 cioM2005-01487 ct>M2005-01487 GOM2005-01487 " COM2005-0 1487 COM2005-0 1487 COM2005-0 1487 COM2005-0 1487 COM200S-0 1487 COM2005-0 1487 COM2005-0 1487 :' . Payments: Type of Payment Check ;t -, :. ., ;( 1 .' ;'1 , ): '1 -I 1 'C ,; 12/12/2005 . J;~~ ~ ~.,.. , , . ',' ,-..- RECEIPT #: 2200500000000001684 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Storm Drainage Impervious Area SDC SanitarylStorm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 3 Baths One & Two Family Vent Fan Exhaust Hoods Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By Received By THE JOY OF BOOKKEEPING jmp Page I of I Cheek Number Batch Number 23268 ~9/ "{.J ;\. ....N.. IiiiJ3 of Springfield Official Receipt _elopment Services Department Public Works Department Date: 12/12/2005 Item Total: Authorlzallon Number How Received In Person Payment Total: I :22:07PM Amount Due 31.00 1,000.00 50.00 777,17 591.17 182.69 805,70 82.03 865.31 10.00 346.74 116.12 66,92 150.00 1,118.15 306,00 24,00 9.00 6.00 6.00 10.00 106.34 151.92 $6,812.26 Amount Paid $6,812.26 $6,812.26