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Receipt PLANNER 4/9/2021
SPRINGFIELD City of Springfield and Public Works ADevelopment AAA Transaction Receipt 225 Fifth Street j! Record ID: 811-21-000075-TYP7 Springfield, OR 97477 541-726-37S3 IVR IVR Number: 877092088347 Fax: 541-726-3689 permitcenter@springfield-or.gcv Receipt Number: 478656 Receipt Date: 419121 htlp.1/www.sprineaeidor.eev/dpwlcurmnloeveiopmentomsion.Mm Worksite address: 2163 HAYDEN BRIDGE RD, Springfield, OR 97477 Parcel: 1703244202748 Fees Paid Transaction Unite Description Accounteoee Fee amount Paid amount date 419/21 1.00 Ea Type l- Floodplain Development- 100-00000.425002-1039 $2,033.00 $2,033.00 base fee, UGB 4/9/21 1.00 Automatic Technology Fee 20400000-425605-0000 $101.65 $101.65 Payment MethoP. Check number: 100 Payer: FISHER KEITH 8 Payment Amount: $2,134.65 JENNY Cashier: Drew Larson Receipt Total: $2,134.65 Printed Va121 3:56 pm Pege 1 of 1 FIN_ Tmn.FionReceiptyr