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12 <br /> ORANGE COUNTY PLANNING and INSPECTIONS DEPARTMENT <br /> 131 West Margaret Lane <br /> Hillsborough, North Carolina 27278 <br /> (919) 245-2600 <br /> (919) 644-3347 Fax <br /> Daniel IL Bruce, Chief Building Official <br /> &°ynlr ,r <br /> 7 <br /> RECEIPT t5 ® <br /> OCL <br /> RECEIPT NUMBER: R14-0 04476 <br /> TO: HABITAT FOR HUMANITY,ORANGE COUNTY,INC <br /> PERMIT#: CB 14-01423 TYPE: Combo Building Permit <br /> SI'Z'E ADDRESS: 124 HILL ST HIPL, <br /> PARCEL: 9865711038 <br /> TRANSACTION DAM: 12/29/2014 TOTAL PAYMENT: 5,623.00 <br /> TOTAL PAID FROM CURRENCY: 5,623.00 <br /> TRANSACTION LIST: <br /> Type Method Description Amount <br /> Payment Check 15437 5, 623.00 <br /> XXXX-XXXX-XXXX- TOTAL: <br /> 5,623,00 <br /> ACCOUNT ITEM LIST: <br /> FEE DESCRIPTION ACCOUNT CODE CALCULATED FEES <br /> BUILDING PERMIT 10621003-422 189.08 <br /> ELECTRICAL PERMIT 10621003-422 137.37 <br /> HOR (COUNTY) 10621003-471 1.00 <br /> HOR (STATE) 10-240022 9.00 <br /> IMPACT FEES - OCS 4087.0101-489 5, 623.00 <br /> MECHANICAL PERMIT 10621003-422 301.71 <br /> PLANS REVIEW FEE 10621003-422 26.87 <br /> PLUMBING PERMIT 10621003-422 87,37 <br /> SOLID WASTE PERMIT 50350005-422 37. 62 <br /> Total : 5,623.00 <br /> Balance Due: $0.00 <br /> RECEIPT ISSUE©BY: JWEST INITIALS: JW <br /> ENTERED DATE: 12/29/2014 TIME: 08:48 AM <br /> Please retain this receipt for your records. <br />