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Building Miscellaneous 2004-10-8
~PRINGFIELD , ~ . City of Springfild {/4:~...'", C'b'"",,:",f;f;' '..A'.:s'~; ,;..l"'~ '.,..,.._...u,.,.~.",.~ ~""."""'''' 'c;,).." ' .L - " ..~;:8!.,-, " I I~' L -';;",-..._ _ i~ Voucher Descriotlon Account Fund Ora Accounting Date: ~:!.~f~l:ru4 Vendor Number: 0000011669 Invoice Date: September 29, 2004 Invoice # : COM2004-01109 Approver : Puent,David Operator: WILS5940 ,Gross Amount: 372.24 SubClass BY ProllGrant Amount Report 10: SPRA103 Voucher 10: 00081625 Handling Code: RE Dewey,Carol .1735 Rainbow Drive Springfield, OR 97477 Refund of cancelled permit 215004 425602 425603 426102 821 224 224 224 2005 2005 2005 2005 9.52 36.00 36.00 36.80 SDC Refunds 448024 436 448025 436 2005 2005 144.24 109.68 Comments: Express Check 80% Elect, Build, Plm, 100% State Surcharge/SDC paid is $253,92 per Matt Stouder 1735 Rainbow Drive --r;, .- /'1\ ' c.,. ' j) I '-:" \,.> I 'y '/~ ...;{"?:; 71" ',' :',;. "-' . /),Ii. '- ~ .t. ,!..- !:, f-'rr.;~,~" 't-, , ' ,5'~r,';<'>'" t=,\,ldC;;;:'f7" 'r-( / 1/-'/ :J ,/ . c ,-;- J - G'Lf _Otet i- Li5(~_ tfcppe/r ' U '"2-F'" 7) Vy-t C il e~d d:...-- '1''' E' r' LL it d c:;: t-/1 t- iT) C')l ,'''.5 \,'\,/ 'C jXt i'd, F C;)'- , 0(.;. ~ 11.,' J:i 7' fi! rill 1 'h; \ -I-- :r .d '-'1 C'C // 1/'1.[17 e CCf)lCW]' f Of '. pJ . .! 1 ' I; i'r;--' " ., -;:;-r,>-u.-,~ /J , [i" ,I, I): i"-I-, /,' , .., .. .....h,,,-,L.' '1'1.,'<'.: ""~",A'J" ..-'.....'..., ' ,I j v ,.- tl c\:.J~'-(~ '<>, ]C,);) n iun ..b't'. ,- - C,! 1'/ ',Hi I '5' '-7~.. L.; rSG("(:~ci. ~ , CNI 5 tn<. c h' till.' : /73 ,!J~ '77'177 5'pn/1JJ~/'t: iJ ()r, 'r ...J \;v-e d", Q..; cl ~, d \\/'f:- CC(tL " ~ :~';'L..t "'/j.(.i<..:..lt;-,, :)"I.i '){.'C_" ,y C (1/1'l j c'" ", L) -- ./' ~l' C' ,.' ITY OF SPRINGFIELD' '/Combination Permit , , . 'n a::-. ): C0l\12004-01109 09/10/2004 09/08/2004 , 03/10/2005 $ 2,000.00 (: Bathroom Alteration Residential ba,;t4 CS, T.7- ,<-/,,// Ci.,\sr- mere t/'cU2 'vo',,-f'ha'lCfh 1j<ct;.- ) , I 0\ C\. tOO.cA ~~~~ :r e\d~ }) D 0~ e BDo;o ok 5j) \:)\a~ @ WIo 3'-0.00 \J ~ ~ BCffu 3<o;v \J\ru\ ~~ j6 A~ Jf ~Qlo !J~bu~ \~.\f) \ 1.:2.. A: 0 Notes: n ,._ i J', " __ _ hone Number: \.. (.. , C'}.. ~---.J' E." \.rl'. -(i-': 'j J~- r,,'j_.'- n"1{ 'J'" I)c' ,,- "'I if, " ' I\': I' ,v'v -"rive.) 541-736-4888 L, V-<:... . , r ...':::!!!.- ,iration Date \/\/', ,/h{,'u..i- t..(. d. . Phone c:' , ',), II C~' i^ <2 L 'j I CZ~',-c,--r! 5C:)-<2_Uj;Y~ '--/ .-/ Pa2c 1 of3 ot Size: 7.841 q Ft 1 st Floor: J ,231 q Ft 2nd Floor: q Fl Basement: q Ft GaragefCarport 480 q Ft Other: Iccnpant Load: REQUIRED PARK1NG Tntal: Handicapped: Compact: ypc: s/Drains: ~, . . MEMORANDUM Citv of Springfield DATE: September 30,2004 TO: Jolie Smith FROM: Matt Stouder SUBJECT: SDC Refund, C01\12004-011 09, Add Bath to Garage It has recently come to our attention that SDC fees were paid for building pemlit COM2004-01109. Since that time, the applicant has decided not to add a second bathroom due to cost. In keeping with our refund policies, please prepare a refund request to refund the amount shown below. Permit No. COM2004-01109 Amount Paid $ 253,92 $253,92 Total Refund $ 253.92 The revenue account that is adjusted by this refund is as follows Revenue Account No, 436-00000-448024 Revenue Account No 436-00000-448025 Total: Amount: $144,24 Amount: $109,68 $253.92 A copy of the receipt showing this amount is attached for your use, Please have the refund sent to Carol Dewey at the following address: CAROL DEWEY 1735 RAINBOW DRIVE SPRINGFIELD, OR 97477 Cc: Bldg, Permit File V:\dcvclopcmenl rc\'icw\SDC\Rcfunds\SDC Refunds.doc