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Receipt PLANNER 5/2/2023
SPRINGFIELD City of Springfield Development and Public Works Transaction Receipt 225 Fifth Street N/N Record ID: 811-22-000276-TYP2 Springfield, OR 97477 541-726-3753 N541-726-3753 IVR Number: 811096075841 Fax: 541-726-3689 permitcen ter@spri ngfield-or.gov Receipt Number: 488408 Receipt Date: 5/2/23 Nftp:lN .sprnBWd .9oWOwICwWOe Wmemolvslon htm Worksite address: 1084G ST, SPRINGFIELD, OR 97477 Parcel: 1703351103400 Fees Paid Transaction Units Description AceouM code Fee amouM Paid amount date 5=3 548.90 Amount Type l - Final Site Plan 100-00000.425002-1039 $548.90 $548.90 Revew/Development Agreement, enter amount 5/2123 1.00 Automatic Technology Fee 2114-00000.4256050000 $301.90 $27.45 Payment Method: Credit card Payer: ereg M Yancey Payment Amount: $576.35 authaicaticn: 099967 Paid through ePermitting website Receipt Total: $576.35 Pnaed: 512123 1:31 pm Page 1 of 1 FIN TranescI1onReoaptyr