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7 Vt ~ <br /> Z~ t~3 <br /> <br /> '""City of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 03- 02754- 01 <br /> Owner: <br /> CITY OF EUGENE - PW ENGINEERING 2295 OAKMONT WAY Cashier KEH <br /> 858 PEARL ST 1ST FL Invoice Date 07/21/03 <br /> EUGENE OR 97401 <br /> Phone: ( ) 682-5291 Extension PDD/BPS <br /> Site Dev/Site Work Project Name: <br /> . <br /> t ~,~GLCode:~:,:, I~~,4,w ~ ~fDescr(~tion ~ ~ - ~Amoun' <br /> 151-0000-21950-000-000000 State Surcharge for Plumbing Permit 11.62 <br /> 151-4210-45226-000-000000 Site Develop Administrative Fee 1.12 <br /> 151-4210-45226-000-000000 Plumbing Administrative Fee 23.22 Z4•~~ <br /> i 51-4242-42553-000-000000 Backflow Prevention 14.00 <br /> 151-4242-42553~000~000000:_Water Service_Footage _ 152.00 I bC~,_~0 <br /> 151-4242-45222-000-000000 Plumbing Plan Check 58.10 <br /> 151-4242-45222-000-000000 Supplemental Plan Review -Plumbing 40.00 <br /> 51-4242-45222-000-000000_~Supplemental Plan Review_Plum..~lng__~_._~_.___~_.__,...___.__~_~.~,_____.~ 56.00 IS`~•2~ <br /> 151-9321-42120-000-000000 Supplemental Plan Review -Public Works 16.00 <br /> Bill to City of Eugene /Project is Oakmont Park ! GJN4028 Amount Due: 372.06 <br /> ~~86L- 3Z1-G33S -~Z~~oZ <br /> d e(o art •k` <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 BUS/NESSt <br /> Customer Copy ~ PIC Copy ~ Finance Copy <br /> Page 1 of 1 <br /> <br />