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Permit Electrical 2014-04-15
TRANSACTION RECEIPT 811-SPR2013-024',11 4889 GLACIER DR CITY OF SPRINGFIELD 225 Fifth st Spnngfield,OR 97477 541-72s3753 permitcenter@springfi eld-or.9ov www. springfield-or. gov DATE:10/29i2013 RECEIPT NO: 2013002382 RECORD NO: 81 I €PR20'13'02411 224-00000426102 224-00000426102 821 -00000-21 5004 100-00000425605 19.50 v s.60 y' 4.oo y' '1004 1 004 1 099 2099 60.s0 Branch circuits without service or feeder -1st circuit Brancn circuits without service or feeder - each additional State of Oregon Surcharge (12o/o ol applicable fees) Technology fee (5% of permit total) TOTAL DUE:93.60 93.60Julie 05954J TOTAL PAID:93.60'?*f-u*rd 1-o G"^gJ Flo't O"r\,^rf -'D*71 k 1)t^"*'| '{.*kt .Cl fiTt/: f ..Lt€ F'St+t* tt5, /)o^/ g fbrnlf,c-tJ , sr- cr{L 7-tu't1 ?e fctPl n {?s9 o\c DS tf'rf'u CODE COMMENTS iPr{lrrrJrliLD City of Springfield Voucher.!.i-t O;tCGOr.l Report ID : SPRA103 Voucher lD : Handling Code Comfort Flow Heating 1951 Don St. Springfield, OR 97477 Description Permit Fee Refund Account Fund 91q Proi/Grant oo217149 RE Accounting Date : Vendor Number : lnvoice Date : lnvoice # : Approver : Operator : Gross Amount : BY Terms Aprill16l2O14 0000001 1 02 Aprilll5l2O14 sPR201 3-0241 1 RUET2341 REEDl 899 93.60 AMOUNT 9.60 400 60 50 19.50 215004 425605 426102 426102 821 100 224 224 00000 00000 00000 2014 00 2014 00 2014 00 2014 00 Payment Message: Permit Fee Refund; SPR13-02411; 4889 Glacier Dr Springfield Comments: Permit Fee Refund; SPR13-0241 1 ; Site Add 4889 Gtacier Dr: PD 10t29t13; RCpT#2013002382; pD by Jutie Fisher; ok to refund per D Bowlsby.