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SC,~ <br /> City of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 882-5086 <br /> Site Address : Log Number 04- 01994- 01 <br /> Owner: <br /> 28840 HOLLIS LN Cashier CXC <br /> CITY OF EUGENE - PW AIRPORT <br /> 28855 LOCKHEED DR Invoice Date 12/04/06 <br /> EUGENE OR 97402 <br /> Extension PDD/BPS <br /> Phone: (541) 682-5430 <br /> Specialty Permit Project Name: City of Eugene Airport <br /> ' GL Cade f Description Amount <br /> 151-4211-45226-000-000000 Building Administrative Fee (8%) 1.28 <br /> 151-4211-45226-000-000000 Fire Administrative Fee (8%) I 40.31 ~ / <br /> 1 <br /> <br /> ~ <br /> 151-4243-42551-000-000000 Fire Alarms s 63.85 <br /> ~ 151-4243-45578-000-000000 Supplemental Plan Review -Building ~ 16.00 <br /> ~ 151-5351-45219-000-000000 Supplemental Plan Review-Fire 80.00 <br /> 5151-5351-45300-000-000000 Fire Alarm System (2 inspections) ~ 360.00 <br /> Bill City of Eugene/GJNt~/Gale Mills x /r~O38 Amount Due:. 561.44 <br /> v~~3 <br /> .51a-~ ~75~'~a-c~~sc~~- <br /> Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> Call: Nancy Rich City of Eugene <br /> (541) 682-5456 Finance Department <br /> PO Box 1967 <br /> Eugene, OR 97440 <br /> THANK YOU FOR YOUR BUSINESS! <br /> Customer Copy PIC Copy Finance Copy <br /> Page 1 of 1 <br /> <br />