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Receipt PLANNER 1/11/2022
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-22-000021-TYP2 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811085680130 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 482631 Receipt Date: 1/11/22 hftp:lN .sprYgWd .goWOwnC ntDerllopmentDNsion htm Worksite address: 69030TH ST, Springfield, OR 97478 Parcel: 1702310004000 Fees Paid Transaction urits Description AcoouM code Fee amount Paid amount date 1/11/22 34,253.00 SqR Type 11- Site Plan Review -10,000 sq 100-00000.425002-1039 $6,731.69 $6,731.69 ft plus impervious surface - Qty 8 UG9, enter sq It 1/11/22 1.00 Ea Type 11 -Sate Plan Reviev- Postage 100-00000.425505-1039 $193.00 $193.00 1/11/22 1.00 Automatic Technology Fee 204-00000.425605-0000 ................................................................................................................................. $336.58 $336.58 Payment Method: Credit card Payer: Troy Goedel Payment Amount: $7,261.27 authaixaticn: 230318 Paid through ePermitting website Receipt Total: $7,261.27 Pnaed: 11111M 3:26 pm Pagel a1 FIN TranaxemRecapryr