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Receipt PLANNER 4/5/2022
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street Record ID: 811.22 -000088 -PRE Springfield, OR 97477 OREGON 541-726-3753 IVR Number: 811080463489 Fax 541-726-3689 permitmnter@spdngfield-or.gov Receipt Number: 483573 Receipt Date: 415122 hap:/M .spdngfieldor.gov/d"/CurrentDevelopmentDivsion.hlm Worksite address: 1942 5TH ST, Springfield, OR 97477 Parcel: 1703262403000 Fees Paid Transaction Units Description Account code Fee amount Paid amount date 4/5/22 1.00 Ea Development Issues Meeting - City& 100-00000425002-1039 $646.00 $646.00 UGB Payment Method: Credit card Payer: Lucas MCCuillan Payment Amount: $646.00 authorization: 070561 Transaction Comment: 522 65th Street Springfield, OR 97478 Cashier: Liz Miller Receipt Total: $616.00 Printed: 41W22 4:00 pm Page 1 oft FIN TransadiionReesipt_pr