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Receipt PLANNER 10/14/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street NDN Record ID: 811 -21 -000275 -PRE Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811044066534 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 481650 Receipt Date: 10/14/21 hftp:tww,,.sprirVW.gWOwla.rwo WmwDr m.htm Worksite address: 1570 MOHAWK BLVD, Springfield, OR 97477 Parcel: 1703253102700 Fees Paid Transaction units Description Account code Fee amount date 10/1421 1.00 Fa Pre -Submittal Meeting, City 100-00000.425002-1039 $428.00 Paid amount $428.00 Payment Method: Credit card Payer: Joseph Karcher Payment Amount: $428.00 authaizaticn: 057730 Paid through ePermitting website Receipt Total: $428.00 PdNed: 1011a21 4:W pm Papel dl FIN TrsasacbmRecmptyr