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Permit Mechanical 2013-12-09
N{3rtc,Lt-, CITY OF SPzuNGFIELD 225 Fifth SrTRANSACTION RECEIPT Springfieid,OR 97477 J+ I-l ZO-J / JJ ww.springfield-or.gov permitcenter@springfield-or. gov tGo 81 1-SPR2013-02637 2245 23RD ST RECEIPT NO: 2013002630 RECORD NO: 81 1-SPR2O13-02637 DATE:12tO9tZO13 Alteration of existing HVAC system First Appliance Fee Furnace - up to 100,000 BTU State of Oregon Surcharge (12% ol applicable fees) Technology fee (5% of permit total) 224-00000-425604 224-00000-425604 224-00000-425604 821-00000-2.1 5004 1 00-00000-425605 1006 1 006 '1006 1 099 2099 14.50 80.00 't8.50 13.56 5.65 TOTAL DUE:132.21 Credit Card Brian Tiller 31 9001 132.21 ?.{-1'lN \ ro : TCo GPthN t? z1 ile*nnr G f AL TI LLE(L wt*r;t 9r# 233 (* 8o7" €et-s | ( BA% Sx Sv'rlcl'fi€ +tol * TOTAL PAID:132.21 fl3lrcl 0 $ L(o l0 OCo) S?t't , oL 17q-? I PEfu,vl oL- Dr 'f tf *r i.'.tIl r(j;l iLO City of Springfield Voucher.,')-; O ndGOnl Report lD : SPRA103 Voucher lD : Handling Code 00213714 RE Accounting Date : Vendor Number : lnvoice Date : lnvoice # : Approver : Operator : Gross Amount: BY Terms JanuarylO712014 000001 8847 JanuarylO3l2O14 sPRl 3-02637 MOTT1050 REED,1899 101.2s AMOUNT 10.85 90 40 J Coo lnc 5729 Main Street #233 Springfield, OR 97477 Desc rirrtion Permit Fee Refund 215004 425604 Comments: Permit Fee Refund; SPR13-02637; Site per D Bowlsby. Account Fund 9E Proi/Grant 821 224 2014 00 2014 0000000 Payment Message: Permit Refund;SPR13-02637; 2245 23rd St;Attn:Brian Tiller; Add 2245 23rd St; pd 1219113 RCPT#2013002630; PD by JCoo/Brian Tiller; ok to refund