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Receipt PLANNER 10/6/2021
SPRINGFIELD City of Springfield nevelopmenk and Public Works Transaction Receipt 225 FHth Street Record ID: 811-21-000261-TYP1 SpringFleld, OR 97477 543-726-3753 OREGON IVR Number: 811072651348 Fax: 541-726-3689 permitcenter@springf eld-or.gov Receipt Number: 481541 Receipt Date: 1016121 httpl/wawspnngfieldor govtdpwlCurrentDevelopment0ivsion.htm Worksite address: 922 B ST, Springfield, OR 97477 Parcel: 1703351313500 Fees Paid Transaction Units Description Accounlcode Fee amount Paid amount date 10/6/21 1.00 Ea Type I - Historic Commission Review 100-00000-425002-1039 $73.00 $73.00 under Type I, City 10/6/21 1.00 Automatic Technology Fee 204-00000-025605-0000 $3.65 $3.65 Payment Method: Check number: 2164 Payer: Alan Handed Payment Amount: $76.65 Cashier: Drew Larson Receipt Total: $76.65 Printed 10/6121 6.13 am Page 1 0 1 FIN_ TmnsactlonReoeipt_pr