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S~t4~o~ i <br /> City of Eugene INVOICE <br /> Permit and Information Center <br /> Ewgene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 04- 03479- 01 <br /> Owner: <br /> C TY OF EUGENE - PW ENGINEERING 4291 RIVER RD Cashier CXC <br /> 8~8 PEARL ST 1ST FL Invoice Date 08/12/04 <br /> RUGENE OR 97401 <br /> Phone: ( ) 682-5291 Extension PDD/BPS <br /> ~ite Dev/Site Work Project Name: Awbrey Park <br /> ~_GL~Code _ ' _De _ption - - - - _~-----._mO <br /> 151-0000-21950-000-000000 State Surcharge for Plumbing Perm (7%) 11.76 <br /> 1t~1-4211-45226-000-000000 Plumbing Administrative Fee (8%) 14.38 <br /> -4242-42553-000-000000 ~ ~ Backflow Prevention ~ ~ - - _ _ _ _ 17.00 <br /> 151-4242-42553-000-000000 No. of Fixtures 17.00 <br /> 151-4242-42553 J000~000000 Water Service Foote 134.00 _~w~ <br /> IBill PWE / GJN 3907 / Attn: Scott Milovich / Projwect is Awbrey Park Amount Due: 194.14' <br /> 5~1~ ~ ~ 6Z-3Z1-9 335•q ISl <br /> I <br /> i <br /> (~uestions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> <br /> tall: 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 />