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Receipt PLANNER 7/12/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-21-000176-TYP1 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811072566059 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 480375 Receipt Date: 7/12/21 Nlp:lN .sprYgWd .goWOwIC,rtWOe Wmemolvslon htm Worksite address: 326 CENTENNIAL BLVD, Springfield, OR 97477 Parcel: 1703263406200 Paid amount $1,536.00 $76.80 Payment Method: Credit card Payer: Breit M Yancey Payment Amount: $1,612.80 autcineeticn: 015838 Paid through ePermitting website Receipt Total: $1,61280 Pnaed: 711 V21 3:38 pm Page 1 of 1 FIN TranexBmRecapryr Fees Paid Transaction urits Description Aceoum code Fee amount date 7/12121 1.00 Fa Type l- Site Plan Review Modification 100-00000.425002-1039 $1,536.00 -Minor City ........................................... 7/12121 1.00 Automatic ..................................................................... Technology Fee 21400000.425605-0000 $76.80 Paid amount $1,536.00 $76.80 Payment Method: Credit card Payer: Breit M Yancey Payment Amount: $1,612.80 autcineeticn: 015838 Paid through ePermitting website Receipt Total: $1,61280 Pnaed: 711 V21 3:38 pm Page 1 of 1 FIN TranexBmRecapryr