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City of Eugeae <br /> Plaagia sic Dev <br /> g ciepment Department <br /> Building & Permit Services <br /> 99 W. 10th Avenue <br /> Eugene, OR 97401 <br /> Customer Information: <br /> Billing Information: <br /> C~~aF .uG~ - f'w~ ~ 15 D~ <br /> Cuttomer NamelCompany <br /> Dote <br /> Z yy ~a~w~l <br /> Address <br /> ~ , 1 / ~ ~ Purdwse Order Number (non-C!ry departmnrts) <br /> cl~; state, zlp <br /> Gry Job Number or,lccount Code <br /> ~SZ-~S398 <br /> Customer Telephone <br /> ~ ~ Department to be Billed <br /> <br /> Contact Name <br /> Q~nty Description of Service <br /> LU PIC Revenue Code Amount <br /> Cd~~1p~KI~a l u-rY ,d, _ _ ~ C~C~. ~ <br /> ~{,aa <br /> Total Due <br /> <br />