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Receipt PLANNER 1/5/2022
SPRINGFIELD OREGON Transaction Receipt Record ID: 811-21-000323-TYP1 IVR Number: 811005666688 Receipt Number: 482559 Receipt Date: 1/5/22 Nftp:lN .sprimgWd .goWOwnC ntDerllopmentDNsion htm Worksite address: 3294 MAIN ST, Springfield, OR 97478 Parcel: 1702313104200 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Paid amount $1,262.00 ..................... $63.10 Payment Method: Check number: 173 Payer: LS PrapDmp LLC Payment Amount: $1,325.10 Transaction Coinment: LS Rap Drop LLC PO Box 5352 Bond, Or 97708-5350 Cashier: Shannon Morris Receipt Total: $1,325.10 Pointed: 1151M 2:39 pm Page 1 of 1 FIN TianexeonReodplyr Fees Paid Transaction ulits Description Account code Fee amount date 1/5/22 1.00 Fa Type l- Drinking Water Protection 100-00000.425002-1039 $1,262.00 Overlay District, City & UGB .................................................................................................................... 1/5/22 1.00 Automatic Technology Fee 204-00000.4256060000 $63.10 Paid amount $1,262.00 ..................... $63.10 Payment Method: Check number: 173 Payer: LS PrapDmp LLC Payment Amount: $1,325.10 Transaction Coinment: LS Rap Drop LLC PO Box 5352 Bond, Or 97708-5350 Cashier: Shannon Morris Receipt Total: $1,325.10 Pointed: 1151M 2:39 pm Page 1 of 1 FIN TianexeonReodplyr