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Receipt PLANNER 7/15/2022
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-22-000177-TYP2 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811031141087 Fax: 541-726-3689 permitcenter@xpringfield-or.gov Receipt Number: 485194 Receipt Date: 7/15/22 Nftp:lN .spmpWd .goWOwnC ntDerllopmentDlvsion htm Worksiteaddress: 19425TH ST, Springfield, OR 97477 Parcel: 1703262403000 7/15/22 1.00 Automatic Technology Fee 2114-00000.425605-0000 $274.45 $274.45 Payment Method: Credit card Payer: Cada McQuillan Payment Amount: $5,966.45 authaizaticn: N2161 Paid through ePermitting website Receipt Total: $5,96&45 Pnnl d: 7115122 3:18 pm Pagel off FIN TranescBonReomplyr Fees Paid Transaction units Description Account code Fee amount Paid amount date 7/15/22 1.00 Fa Type 11 -Site Plan Review -<10, 000 100-00000.425002-1039 $5,489.00 $5,489.00 sq It impervious surface - City & 11G8 ................................. 7/15/22 1.00 Fa ........................................................................................ Type 11 -Notice Fee 100-00000.425002-1039 $203.00 $203.00 7/15/22 1.00 Automatic Technology Fee 2114-00000.425605-0000 $274.45 $274.45 Payment Method: Credit card Payer: Cada McQuillan Payment Amount: $5,966.45 authaizaticn: N2161 Paid through ePermitting website Receipt Total: $5,96&45 Pnnl d: 7115122 3:18 pm Pagel off FIN TranescBonReomplyr