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Receipt PLANNER 7/1/2021
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-21-000168-TYP2 IVR Number: 811003159955 Receipt Number: 480197 Receipt Date: 7/1/21 NIp:lN .sp"Wg .goWOwIC,rtWOe Wmemolvslon htm Worksite address: 326 CENTENNIAL BLVD, Springfield, OR 97477 Parcel: 1703263406200 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenterlibspri ngfield-or.gov Paid amount $4,967.00 $190.00 $248.35 ..................... Payment Method: Credit card Payer: Bree M Yancey Payment Amaunt: $5,405.35 authaiesticn: W7441 Paid through ePermitting website Receipt Total: $5,405.35 Prl med: 711121 7:21 am Pagel 91 FIN Transacg Receplyr Fees Paid Transaction Units Description Aeeount code Fee amount date 7/1/21 1.00 Fa Type 11 - Site Plan Review Modification 100-00000-425002-1039 $4,967.00 -Major City & UG8 7/1/21 1.00 Fa Type II - Site Plan Review Modification 100-00000-425505-1039 $1911.00 -Major Postage 7/1/21 .................................................................................................................... 1.00 Automatic Technology Fee 211 00000.4256050000 $24&.35 Paid amount $4,967.00 $190.00 $248.35 ..................... Payment Method: Credit card Payer: Bree M Yancey Payment Amaunt: $5,405.35 authaiesticn: W7441 Paid through ePermitting website Receipt Total: $5,405.35 Prl med: 711121 7:21 am Pagel 91 FIN Transacg Receplyr