AllPaid Payments: Powered by GovPayNet

*Required Fields

You may pay for multiple renewal invoices. The amount being paid must be the same as the amount due on the invoices.

*Type of Payment: New (build/install) Modification of Existing PTO
*Consultant or Contractor's Name First:
Consultant or Contractor's Name Middle:
*Consultant or Contractor's Name Last:
if different than Company
*Company Name to be on Permit:
*Owner of Operation:
*Applicant's Phone #:
*Applicant's Email:
Equipment Location
*Street:
Street 2:
*City:
*State: -- AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYAAAEAPASFMGUMHMPPRPWVIABBCMBNBNLNSNTNUONPEQCSKYT
*Zip:

You may pay for multiple applications with on payment as long as all the equipment is located under one address. Once you receive confirmation frorm GovPayNet, email with applications to payments@ysaqmd.org or fax to (530)757-3670.