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Report (35) '`(\ --c?) - ç \\(\ Washington County Oregon Department of Land Use&Transportation Operations and Maintenance Division rr� 1400 SW Walnut Street,MS 51 Hillsboro,OR 97123 Phone: 503-846-7623/Fax:503-846-7620 MAY 0 8 2019 CITY U '!CARE) .RECEIPT ONLY pLANNING/EN,IGiNEERING Permit Type: ACCESS Project#: Permit Status: ACCEPTED Receipt for Permit#: 39013 Situs Address: Applied: 04/05;2019 Parcel Number: Issued: Location: 7304 SW TAYLORS FERRY RD Subdivision: Payee: BARTHOLEMY CONSTRUCTION MANAGEMENT LLC Address: 11380 SW PAULINA DR WILSONVILLE OR 97070 Applicant: BARTHOLEMY CONSTRUCTION MANAGEMENT LLC Address: 11380 SW PAULINA DR WILSONVILLE OR 97070 Appl. Phone: 503-201-6238 Applicant Email: M.BARTHOLEMYLGMAIL.COM Contractor: Cont. Phone: 503-201-6238 Address: 11380 SW PAULINA DR WILSONVILLE OR 97070 License/CCB: Work Description: NEW ACCESS Account Status: Application Fee: $150.00 Admin/Engineering Dep.: $0.00 Permit Fee: $0.00 Bond Deposit: $0.00 Sidewalk/Repair Fee: $0.00 Seasonal Irrigation: $0.00 No Spray Fee: $0.00 Land Development Fee: $0.00 Neighborhood Watch: $0.00 Total Fees: $150.00 Payments to Date: $150.00 Balance Due: $0.00 Surety Bond Amt.: $0.00 Surety Bond#: Transaction Date: 04/05/2019 Staff: DEANNAKU Type Method Amount Payment WSC Check 150.00 Payment Notation: CK 29138 DK Account Item List: Fee ID Description Account Code Current Pmts 5500 ROW Application Fee 168.606015.42060.6060010 150.00 Total Payment: 150.00 Page 1