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•~o•o~ <br /> City of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 {541) 682-5086 <br /> Site Address : Log Number 04- 03809- 01 <br /> Owner: <br /> CITY OF EUGENE - PW ENGINEERING 875 MARTIN ST Cashier KEH <br /> 858 PEARL ST 1ST FL invoice Date 11/05/04 <br /> EUGENE OR 97401 <br /> Phone: ( ) 682-5291 Extension PDD/BPS <br /> Site Dev/Site Work Project Name: Frank Kinney Park <br /> [~OL Code~~ ; ~ - - Description _ _ _ Amou?1.. <br /> 151-0000-21950-000-000000 State Surcharge for Building Permit ~ 10.80 <br /> 151-4211-45226-000-000000 Building Administrative Fee (8%) ~M~~~_..__~._._,____._.~____.~._.,_._.______ 30.82 <br /> 151-4211-45226-000-000000 PW Administrative Fee (8%) 1.92_.~Z <br /> - ,w.~._.__._.._..___.--_.._..___..._.. _ _ <br /> 151-4243-42551-000-000000 SI -Building Permit for added value 154.24 <br /> 151-4243-45578-000-000~000~~-~' Supplemental Plan'Review -Building ~ ~ ~ ~ 120.00 T <br /> ~ 1-424345578-000000000 SI -.Plan Check-for~dde val e_._._~_. ~_~,.~.,__._._v ~Q0.26 ZZ~•t~ <br /> 151-9321-42120-000-000000 Supplemental Plan Review -Public Works 24.00 <br /> Bill to City of Eugene - PWE / GJN4123 /Project is Frank Kinney Park Amount Due: ~2•~ <br /> 'vL- I - X13 3~ 3~~ Z---t.~, c ~,2., <br /> o rte <br /> <br /> Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> <br /> Call: Debbie Newhard City of Eugene <br /> (541) 682-8822 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 />