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Receipt PLANNER 7/27/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-21-000196-TYP3 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811027113675 Fax: 541-726-3689 permiticenter@xpringfield-or.gov Receipt Number: 480633 Receipt Date: 7/27/21 hftp:/�.sprimgMi .go dpwlQaragDe WmentDlvsion htm Parcel: 1802052300202 Pniski 7127121 4:34 pm Page 1 of 1 FIN Transaction Race ptyr Fees Paid Transaction Units Description Account code Fee amount Paid amount date 7/1//21 1.00 Be Type III- Discretionary Use, City 100-00000.425002-1039 $4,741.00 $4,741.00 ............................ 7/1//21 1.00 Be ............................................... Type III- Discretionary Use, Postage 100-00000-4255051039 .................................... $466.00 $466.00 7/27/21 1.00 Automatic Technology Fee 2114-00000.4256050000 $237.05 $237.05 $5,444.05 Payment Method: Credit card Payer: Bruce VNeched Payment Amount: authorization: W755D Transaction Comment: Bruce Wischert Custom Homes Inc 3073 Sky A. Lane Eugene, Or 97405 Cashier: Shannon Morris Receipt Total: $5,444.05 Pniski 7127121 4:34 pm Page 1 of 1 FIN Transaction Race ptyr