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Receipt PLANNER 1/6/2021
SPRINGFIELD OREGON hftp:lN .spmgfielb-or.go dpwlCurrentDe�llopmentDlvsion Mm Worksite address: 4362 Jasper RD Parcel: 1802052406700 Transaction Receipt Record ID: 811-21-000003-TYP2 IVR Number: 811073485085 Receipt Number: 477566 Receipt Date: 1/6/21 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenterlillspri ngfield-or.gov Paid amount $9,905.00 $190.00 $495.25 Payment Method: crack cavi Payer: Timothy VJelskind Payment Anni $10,590.25 authcricaticn: W6717 Paid through ePermitting website Receipt Total: $10,590.25 Printed 116121 11:49 am Pagel 91 FIN Transaction Race ptyr Fees Paid Transaction Urns Description Account code Fee amount date 1/6/21 1.00 Loh: Type ll - Subdivision -LDR Tentafive 100-00000.425002-1039 $9,905.00 Plan - < 2 acres, par lot 1/6/21 1.00 Fs Type ll - Subdivision -LDR Tentafive 100-00000.4255051039 $190.00 Plan - Postage 1/6/21 ............................................................................................................................... 1.00 Automatic Technology Fee204-00000.425W50000 $495.25 Paid amount $9,905.00 $190.00 $495.25 Payment Method: crack cavi Payer: Timothy VJelskind Payment Anni $10,590.25 authcricaticn: W6717 Paid through ePermitting website Receipt Total: $10,590.25 Printed 116121 11:49 am Pagel 91 FIN Transaction Race ptyr