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Receipt PLANNER 1/29/2020
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-20-000150-TYP2 IVR Number: 811067142730 Receipt Number: 477816 Receipt Date: 1/28/21 hftp:lN .sprimgritl .go dpwlOtarentDerllopmentDlvsion htm Worksite address: 6185 MAIN ST, Springfield, OR 97478 Parcel: 1702343400700 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenterlibspri ngfield-or.gov Fees Paid Transaction urits Description Account code Fee amount date 1/2&21 1.00 Fs Time Extension for certain 100-00000.425002-1039 $392.00 Improvements, City Paid amount $392.00 Payment Method: Credit card Payer: Nathan VAN. Payment Amount: $392.00 authorization: M2523 Wedenmann Paid through ePermitting website Receipt Total: $392.00 Pointed: 112&21 8:25 pm Page 1 of 1 FIN Trams fionReoeplyr