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Receipt PLANNER 10/14/2022
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-22-000229-TYP2 IVR Number: 811059370938 Receipt Number: 486272 Receipt Date: 10/14/22 N11,1ry .sprkVildd ,. dpwnweMDevel opm entD'rvsi on,htm Worksite address: 811 53RD ST, Springfield, OR 97478 Parcel: 1702332100800 City of Springfield Office: Not Applicable Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenter@spn ngfield-or.gov Fees Paid Transaction units Description Aeeourd code Fee amount Paid amount date 10/1422 25,703.00 SqR Type 11 -Site Plan Reties -10,000 sq 100-00000.425802-1039 $6,506.70 $6,509.70 ft plus cf newimper ams surface - Cty & UGS, enter sq It 10/1422 1.00 Ea Type II - Notice Fee 100-00000.425002-1036 $203.00 $203.00 10/1422 1.00 Automatic Technology Fee 2114-00000.425605-0000 $325.46 $325.49 ................................................................................................................................................ $7,038.16 Payment Method: Credit card Payer: Cady Schaaf Payment Amount: authorization: 814161 Transaction Comment: Cady Schaaf Nation's Mini Mix PO Box 394 WalterNle Or 97489 Cashier: Shannon Morris Receipt Total: $7,038.19 Pnaed: 1011G22 4:20 pm Papel dl FIN TmsactionReceiplyr