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Receipt PLANNER 10/5/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-21-000260-TYP1 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811008878552 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 481529 Receipt Date: 10/5/21 hftp:lN .spmpWd .goWOwnC ntDerllopmentDNsion htm Worksite address: 71819TH ST, Springfield, OR 97477 Parcel: 1703362116200 Transaction Urits Description date 100-00000.425002-1039 $900.00 10/5/21 1.00 Ea Type I - Accessory Dwelling Unit 10/5/21 1.00 Automatic Technology Fee Payment Method: Credit card aW cineatim: 21505W Paid through ePermitting website Payer: Jessie Olivas Fees Paid Accoum code Fee amount 100-00000.425002-1039 $900.00 204-00000.425606-0000.. $45.00.. Receipt Total: Payment Ammnt: Paid amoum $900.00 $45.00 $945.00 $945.00 Pmited:101521 10:35 am Page 1 dl FIN Trane bmRecepryr