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Receipt PLANNER 11/19/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-21-000287-TYP1 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811095214494 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 482087 Receipt Date: 11/19/21 hftplN .sprimgfitl .go dpwnwDei llopmentDiVsion.han Worksite address: 658 S 57TH ST, SPC# 1, Springfield, OR 97478 Parcel: 1702330001201 Fees Paid Transaction Units Description Account code Fee amount Paid amount date 11/1921 1.00 Fa Land Use Compatibility 100-001300.4251)1)2-1039 $348.00 $348.00 Statement(Zoning Verification Letter - Permit, Cily 11/1921 1.00 Automatic Technology Fee 2114-00000.425605-0000 $17.40 $17.40 Payment Method: Credit card Payer: Leigh -Anne Denier Payment Amount: $365.40 authaizalicn: 06489G Paid through ePermitting website Receipt Total: $365.40 P inted:11/19.2110:55 am Pagel dl FIN Trarewbonileoaplyr