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Receipt PLANNER 11/9/2021
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-21-000293-TYP1 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811033169164 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 481975 Receipt Date: 11/9/21 hftp:/huvrvr.spmpWd .goWOwnC ntDerllopmentDNsion htm Worksite address: 824 S 70TH ST, Springfield, OR 97478 Parcel: 1802022304300 Pnaed:11021 2:12 pm Page 1 of 1 FIN Transa fimRecepryr Fees Paid Transaction urits Description Account code Fee amount Paid amount date 11/9/21 1.00 Fs Type l - Property Line Adjustment, City 100-00000.425002-1039 $772.00 $772.00 11/9/21 1.00 Automatic Technology Fee 209-00000.425605-0000 $38.60 $38.60 Payment Method: Check number: 10M Payer: 836 7Qh LLC Payment Amwnt: $810.60 Transaction Comment: 939 Riverstone Lane Sprimgfielo, OR 97477 Cashier: Liz Miller Receipt Total: $810.60 Pnaed:11021 2:12 pm Page 1 of 1 FIN Transa fimRecepryr