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Receipt PLANNER 9/25/2020
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth street Record ID: 811-20-000187-TYPI Springfield, OR 97477 541-726-3753 OREGON IVR Number: 811039355084 Fax: 541-726-3689 permitcenter@springfield-or.gov Receipt Number: 476485 Receipt Date: 9125120 htlpl/vrw.v.spdngleldorgov/dp /CurmntD wlopmentDivsion.htm Worksite address: 79030TH ST, UNIT#Al, Springfield, OR 97478 Parcel: 1702312200504 Fees Paid Transaction Units Description Accounlcode Fee amount Paid amount date 9125/20 1.00 Ea Type l - Drinking Water Protection 100-DOODO-425002-1039 $1,24200 $1,242.00 Overlay District, City 8 UGB 9125120 1.00 Automatic Technology Fee 204-00000-425605-0000 $62.10 $62.10 Payment Method: Credit card Payer: Dalton Baarastad Payment Amount: $1,304.10 authorization. 406764 Cashier: Drew Larson Receipt Total: $1,304.10 Panted 9125120 3.33 pm Page 1 a 1 FIN_ TrdnsaclionReceiptyr