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i <br /> 'i, <br /> City of Eugene I <br /> NVOI E <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Owner: Site Address : Log Number Q5- 03378- 01 <br /> ST 5 CHEVY CHASE Cashier [~LW <br /> CITY OF EUGENE - PW PARKS & OPEN <br /> 1820 ROOSEVELT BLVD <br /> EUGENE OR 97402 Invoice Date fl7/20/05 <br /> Phone: ( ) - Extension pDD/BPS <br /> Erosion Prevention Project Name: <br /> - - _ v - - - - - - <br /> GG Code i sc~i~tib~n~ - ~ ~ A~oui~t <br /> 151-4211-45226-000-000000 Erosion Administrative Fee 8 /0 64.8 <br /> I <br /> 151-4220-45590-000-000000 Land Use Compatibility 60.0 <br /> 535-9323-42450-000-000000 Erosion Prev -Commercial-New 1 acre 750.0 <br /> bill to PWE/Scott Milovich/gjn 4094 Amount Due: 874.8 <br /> _ ~ <br /> ~ Po ~te Date ~ <br /> I N- ~ 5- (2S <br /> 1~0 C ~ Yh~ pv <br /> I Job No. <br /> I Contr No. ~ <br /> Assessment? YES or NQ <br /> ' I appro a this for pay~~, _ ~ <br /> I S;c;n~tura D~i~ `2 ~ 6T <br /> ---_,._-___-_____.-1 <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 /> <br /> ? Customer Copy ? PIC Copy ? Finance Copy <br /> Page 1 of 1 <br /> <br />