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Receipt Planner 9/29/2023
SPRINGFIELD Transaction Receipt (. Record ID: 811.23.000226-TYP2 OREGON IVR Number: 811059441422 Receipt Number: 490565 Receipt Dale: 9/29/23 htlp:11w .spnngfield-or.govidpwICurar DevelopmentDN5lon.him Worksite address: 204 55TH ST, SPRINGFIELD, OR 97478 Parcel: 1702334201501 City of Springfield Office: Not Applicable Development and Public Works 225 Fifth Street Springfield, OR 97477 541-026-3753 Fax: 541-726-3689 permitcenter@springfield-or.gov Printed 9129123 1:40 pm Paga 1 of 1 FIN TransactionReceiptyr Fees Paid Transaction Units Description Account code Fee amount Paid amount date 9/29/23 1.00 Ea Type 11- Panniers - Partition Tentative 100-00000425002-1039 $6,335.00 $6,335.00 Plan, City 9/29/23 1.00 Ea Type It - Notice Fee 100-00000425002-1039 $203.00 $203.00 9/29/23 1.00 Automatic Technology Fee 204-00000425605-0000 $316.75 $316.75 Payment Method: Credit card Payer: Carol Schirmer Payment Amount $6,854.75 authorization: 043480 Transaction Comment: Carol Schirmer Schirmer Consulting LLC P.O. Box 10424 Eugene OR 97440 Cashier: Andy Limbird Receipt Total: $6,854.75 Printed 9129123 1:40 pm Paga 1 of 1 FIN TransactionReceiptyr