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~ z <br /> II.Zu•c~L , <br /> City of Eugene <br /> Planning & Development Department <br /> BuUding & Permit Services <br /> 99 W. 10th Avemte <br /> <br /> Eugene, OR 97401 <br /> Customer Information: Billing Information: <br /> o~ ~v v~ ~ O S ll -1~1--E2-- <br /> _ Dots <br /> c~~ g~ a~6 ~ SKl r112e1~ fJ ~ ~al~e'f <br /> ~ ~~2.~-Yl Cvcd~-- <br /> Purchase Ordsr Number (non-CJty dspardnsnu) <br /> Address <br /> d ~ ~ X42 ~C-~N ~8~7 321-8335 --C~ISb~- ~1o52,G2 <br /> Ctry, State, Zt Ctry Job Number or A oust Cods <br /> (~~sa- ~f~ 15 ~ ~ ~ ~ ~o~ <br /> Customer Telephone ~ ~ Dtpartmsnt t bs Btikd <br /> 12o~O c~.~ ~s-~~ <br /> Contact Name <br /> ~!i/~, ~ ~ _ ysSIS ~ tion of Service PIC Revenue Code Amount <br /> Quantity P <br /> t ~LI~~c~ ~.Su C.-tar~r 6~a ~©2-53 8 156 <br /> 1 r~~ ~ ~ ~ ~ sa <br /> I~j <br /> t - ~f~/c~ ~55~3 G <br /> ~~a <br /> - ---TotaLDue <br /> <br />