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Receipt PLANNER 10/19/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-21-000276-TYP2 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811034007147 Fax: 541-726-3689 permitcen ter@spri ngfield-or.gov Receipt Number: 481679 Receipt Date: 10/19/21 hnpvN ,prmgfield- or, gowdpwlcurrent DeveiopmPro omsion mm Parcel: 1702300001803 Fees Paid Transaction units Description Account cote Fee amount date 1011921 319,840.00 SgFt Type 11- Site Plan Revieo-10,0130W 100-00000425002-1039 $24,438.08 a plus impervious surface - City & UGS, enter sq a 10119Q1 1.00 Fa Type 11 -ate Plan Reviev- Postage 100-00000.4255051039 -- -- -- $193.00-- -- -- -- -- 10119Q7 1.00 Automatic Technology Fee -..-.. ------2114-00000.4256050000---------$1,221.90-------------- Paid amount $24,438.08 $193.00 $1,221.90 Payment Method: Check number: 1023 Payer: Mamda Meadows Payment Amount: $25,852.98 Neighborhood LLC Transaction Comment: Maroola Meadows Neighborhood LLC 27375 SW Parkway Ave VAlsonville OR 97470 Cashier. Andy Limbird Receipt Total: $25,852.88 Pmged: 10/19.21 10:35 am Page 1 of 1 FIN TraneaceonReodplyr