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Receipt PLANNER 9/4/2020
SPRINGFIELD City ld Development and Public Works Transaction Receipt 225 Fifth Street 5Fifthngreet (� Record ID: 811-20-000161-TYP2 Springfield, OR 92477 �` 541-726-3753 OREGON IVR Number: 811082887673 Fax: 541-726-3689 permitcenter@springfield-or.gov Receipt Number: 475966 Receipt Date: 914120 hopflexxspnnarield-or.9ovld"lCurmntOevelopmenloivsicn.h" Worksite address: 432 34TH ST, Springfield, OR 97478 Parcel: 1702312409400 Fees Paid Transaction Units Description Accountcode Fee amount Paid amount data 9/420 1.00 Ea Type ll - Variance - Minor Variance 100-00000-425002-1039 $2,96600 $2,966.00 (up to 30%), City 8 UGB 9/4120 1.00 Ea Type ll - Variance - Minor Variance 100-00000-425506-1039 $190.00 $190.00 (up to 30%), Postage 9/4120 1.00 Automatic Technology Fee 204-00000425605-0000 $148.30 $148.30 Payment Method: Check number: 0115 Payer: Oulce M Carlos Payment Amount: $3,304.30 Transaction Comment: 3841 Virginia Ave Springfield, OR 97478 541-357-0063 Cashier: Drew Larson Receipt Total: $3,304.30 Printed 91420 2:52pm Page1&1 FIN _Tnnsactionis iptyr