HomeMy WebLinkAboutMiscellaneous Correspondence 2010-6-3
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CUSTOMER INFORMATION REQUEST
Development ServicesIPublic Works
225 Fifth Street; Springfield, OR 97477 (541) 726-3753
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BUILDING: New Application: 0 EXisting)f{ Other: 0
Information requested (please include City Case/Permit #, Address and/or Map & Tax Lot # if applicable):
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Staff responding: ' Date: Time:
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PLANNING:
New Application: 0
Existing: 0
Other: 0
Information requested (Please include Address, Map & Tax Lot #, Journal No, and/or Planner assigned if applicable):
Staff responding:
Date:
Time:
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PUBLIC WORKS/ENGINEERING: New Application: 0 Existing: 0 Other: 0
Information requested (Please include Address, Map & Tax Lot # and/or any other pertinent information):
Staff Responding:
Date:
Time:
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Date: 06/09/2010
8:27:14AM
1201000000000000630
Job/Journal Number
COM20 1 0-00736
COM20 I 0-00736
COM20 10-00736
COM2010-00736
COM20 1 0-00736
Payments:
Type of Payment
CreditCard
cReceintl
Description
Research Rqst - Technical
Miscellaneous Copy Chgs
Copy 6th @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea _
***+ 10% Administrative Fee*,**.
Amount Due
76.50
21.00
0.75
40.50
13.90
$152.65
..
Paid By
JOSEPH PURKEY
CONVERGENCE
ARCHITECTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KLK KLK 085418 In Person
$152.65
Amount Paid
Payment Total:
$152.65
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6/9/2010