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Receipt PLANNER 11/30/2020
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-20-000226-TYP1 IVR Number: 811002869731 Receipt Number: 477166 Receipt Date: 11/30/20 hftplN .sprimgWd .goWOwICwWDe WmentDlvsion him Worksite address: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477 Parcel: 1702190003300 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenterlitspri ngfield-or.gov Pointed : 11130120 7:52 am Pegs 1 a 1 FIN TransxemRecapryr Fees Paid Transaction urits Description Aceoum code Fee amount Paid amount date 11/3020 1.60 Ea Type l- Site Plan Review Modification 100-00000.425002-1039 $1,512.00 $1,512.00 -Minor City 11/30/20 1.00 Automatic Technology Fee 211 00000.425605-0000 $75.60 $75.60 Payment Method: Credit card Payer: Nathan Endicott Payment Amount: $1,587.60 authentication: 013218 Paid through ePermitting website Receipt Total: $1,587.60 Pointed : 11130120 7:52 am Pegs 1 a 1 FIN TransxemRecapryr