HomeMy WebLinkAboutReceipt Planner 11/28/2023SlllkikcritLD
Transaction Receipt
t Record ID: 811-23-000270-TYP4
7�tEOt� IVR Number: 811032860304
Receipt Number: 491127
Receipt Date: 11/28123
http://www.springfield-or.gov/dpw/CurrentDevelopmentDivsion.htm
Worksite address: 1717 KELLOGG RD, SPRINGFIELD, OR 97477
Parcel: 1703331100301
City of Springfield
Office: Not Applicable
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Fax: 541-726-3689
permitcenter@springfield-or.gov
Payment Method: Credit card Payer: Shellila Zientara Payment Amount: $2,163.63
authorization: 009760
Transaction Comment: 29712 Gimpl Hill Road
Eugene, OR 97402
Cashier: Liz Miller Receipt Total: $2,163.63
Printed: 11/28/23 1:28 pm Page 1 of 1 FIN_TransactionReceipt_pr
Fees Paid
Transaction
Units
Description
Account code
Fee amount
Paid amount
date
11/28/23
1.00 Ea
Type IV - Notice Fee
100-00000-425002-1039
$691.00
$691.00
11/28/23
1.00 Ea
Type IV -Annexation, Single Unit
100-00000-425002-1039
$1,275.00
$1,275.00
Dwelling Detached, on Rill Prop of
less than 10000 sq ft
11/28/23
127.50 Amount
Type IV - Annexation, special district
100-00000-425002-1039
$127.50
$127.50
boundary adjustments/withdrawals -
enter amount
11/28/23
1.00 Automatic
Local Technology fee - Springfield
204-00000-425605-0000
$70.13
$70.13
Payment Method: Credit card Payer: Shellila Zientara Payment Amount: $2,163.63
authorization: 009760
Transaction Comment: 29712 Gimpl Hill Road
Eugene, OR 97402
Cashier: Liz Miller Receipt Total: $2,163.63
Printed: 11/28/23 1:28 pm Page 1 of 1 FIN_TransactionReceipt_pr