. ~ <br /> 591v~ <br /> City of Eugene INVOICE <br /> f <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 07- 04146- 01 <br /> Owner: <br /> ~ ~ 1001 HATTON AVE Cashier SMB <br /> CITY OF EUGENE <br /> 858 PEARL ST <br /> EUGENE OR 97401 Invoice Date 08/10/07 <br /> ( ) Extension PDD/BPS <br /> Phone: <br /> Specialty Permit Project Name: (~(,~,~/'1(,u (.`~1~11~ ~a-~~ <br /> 1 ~GL Code_~ _ . - -----D~Scri~tion ~ - ~f~~ ~ Amount <br /> ~ ~ 151-4211-45226-000-000000 Plumbing Administrative Fee (8%) ' 6.05 <br /> <br /> ~ 242-42553-000-000000 Backflow Prevention 17.00 <br /> 1 1-4242-42553-000-000000 Basic Permit Fee 53.00 ; , <br /> ,,~,,:~..w,.,,,.._w.~,....,... , <br /> x,;151-9951-45992-000-000000 State Surcharge for Plumbing Perm (8%) 5.60 <br /> 9 Bill to the City of Eugene GJN: 3764 Attn: Scott Milovich x l~D~(p Amount Due: 81.65 <br /> I - - ~IqS ~ -!o a- <br /> a <br /> ;Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> Call: Nancy Rich City of Eugene <br /> (541) 682-5456 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 />