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Receipt PLANNER 6/12/2020
SPRINGFIELD OREGON Transaction Receipt 811-20-000029-TYP2 IVR Number: 811048748506 Receipt Number: 474994 Receipt Date: 6/12/20 hfp:lN .spriVWfi .geWOwl9ara6De Wma6DWam.hhn Worksite address: 500 INTERNATIONAL WAY, Springfield, OR 97477 Parcel: 1703154000600 Transaction date 6/12/20 Fees Paid Units Description Account code 496.79 Amount Type l - Final SXe Plan 1913-09139 0. 4 2 50 0 2-10 39 Review/Development Agreem ant 100 Automatic Technology Fee City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcentertilspri ngfield-or.gov Fee amount $496.70 2114-001300.425605-01300 $273.19 Paid amount $248.35 $273.19 Payment Method: Check number:83106 Payer: Richardson Spats Payment Amount: $521.54 Inc. Transaction Canmem: Richardson Sports Inc. PO Box 71130 Springfield, Or 97475 Cashier: Shannon Morris Receipt Total: $521.56 Pnnk 6:6112/20 3:32pm Pagel M1 FIN TranswbmRecdptyr