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Receipt PLANNER 5/10/2022
Transaction Receipt Record ID: 811-22.000120-TYP1 NR Number: 811094858555 Receipt Number: 484003 Receipt Date: 5110122 Mil/vmnv.springkWk.govlepwlCunemoevebpmentDlvslonM1M Worksite address; 1404 OLYMPIC ST, Springfield, OR 97477 Parcel:1703253209300 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenter6spring0eld-or.gov Printed: 5110122 2:45 pm Page 1 of 1 FIN_ TmmadionReoeiplyr Fees Paid Tmnsacdon Units Description Account code Fee amount Paid amount date 5/10/22 1.00 Ea Type l- Accessory Dwelling Unit 100-00000425002-1039 $900.00 $900.00 5/10/22 1.00 Automatic Technology Fee 204-00000425505-0000 $45.00 $45.00 $945.00 Payment Method: Check number. 153 Payer: MCCLURE JOEL A PaymentAmount: Cashier: Drew Larson Reeelpt Total: $945.00 Printed: 5110122 2:45 pm Page 1 of 1 FIN_ TmmadionReoeiplyr