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:ity of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 04- 02851- 01 <br /> Owner: <br /> 2190 POLK ST Cashier KEH <br /> CITY OF EUGENE - PW ENGINEERING <br /> 244 E BROADWAY Invoice Date 06/10/04 <br /> EUGENE OR 97401 <br /> Phone: (541) 682-5560 Extension PDD/BPS <br /> Erosion Prevention Project Name: CITY'S WASTEWATER REHAB <br /> GL Gode Description Am'oun <br /> 151-4211-45226-000-000000 Erosion Administrative Fee (8%) 28.00 <br /> <br /> 535-9323-42450-000-000000 Erosion Prev -Commercial-New < 1 acre 350.00 <br /> Bill to City of Eugene - PWE / GJN#4184 / Attn: Rich Heil /Project is 2190 Polk Amount Due: 378.00 <br /> St. <br /> `,li+c _R~t e Date <br /> 70: <br /> Job No. oa/ <br /> Contr No. <br /> Assessable? YES ntor <br /> I appr t ' fo <br /> oc <br /> Sig ature Date: <br /> Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <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 /> <br />