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~'E ~S~t~ <br /> q.9 •a~ <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 DAN it <br /> 858 PEARL ST 1ST FL Invoice Date 09/03/04 <br /> EUGENE OR 97401 <br /> Phone: ( ) 682-5291 Extension PDD/BPS <br /> Site Dev/Site Work Project Name: Frank Kinney Park <br /> ~ GL Gode_ ! Description,--- ~ - Amour}fi <br /> 151-0000-21950-000-000000 State Surcharge for Building Permit 3.05 <br /> 151-0000-21950-000-000000 State Surcharge for Electrical Perm (7%) 4.34 II <br /> 151-0000-21950-000-000000 State Surcharge for Plumbing Perm (7%) 8.40~~~~.~ <br /> 151-4211-45226-000-000000 Plumbing Administrative Fee (8%) 10.27 <br /> 151-4211-45226-000-000000 PW Administrative Fee (8%) 24.92 ICI <br /> 151-4211-45226-000-000000 Electric Administrative Fee (8%) 5.31 <br /> <br /> ~?.a51-4211-45226-000-000000 Building Administrative Fee (8%) _ 5.99 _'~4 <br /> 151-4240-42554-000-000000 Restricted Energy -Commercial 62.00 ~ <br /> 151-4242-42553-000-000000.__.. No. of Fixtures ~ _ _..--.___~....____.v _ _ _ _ _ ___-17A~' I!, <br /> 151-4242-42553-000-000000 Water Service Footage 86.00 ' <br /> __1~1-4242-42553-000-000000 Backflow Prevention _ 17.00 I <br /> ~,yp <br /> 151-4243-42551-000-000000 Building Permit Fee per BLDG DIV Value 43.51 <br /> 151-4243-45578-000-000000 Adjusted Building Plan Check fee 28.28 ~ <br /> 151-9321-42120-000-000000 Supplemental Plan Review- Public Works 40.00 <br /> 151-9321-42574-000-000000 Sidewalk (Commercial) 271.50 <br /> bill to City of Eug/PW on GJN 4123 Amount Due: 627.57 <br /> ~~ta ~ 3 2! ~ 3 3 5 - ~l ~ 6 ~ <br /> x.35"0 ~ <br /> _ i Customer Copy ~j PIC Copy i` 1 Finance Copy <br /> Page 1 of 2 <br /> <br />