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<br /> 0~6~27/2006 TUE 1 ;57 FAQ 541 682 8500 LANE COUNTY P\W DELTA ~j001/001 <br /> i <br /> j ~ ' Lane County Department of Public Works Receipt No 1996 <br /> I <br /> Facility Permit -Receipt of Payment <br /> Lane County Public Works <br /> 3040 N. Delta' Hwy. <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> hermit 060641 Receipt Date 06/27/2006 <br /> (Receipt For ITl( OF EUGENE <br /> 58 PEARL ST <br /> i <br /> f UGENE, OR 97401 . <br /> Method of Pay eat Mastercard <br /> ~~`35 Amount Paid $200.00 <br /> ~ Amount <br /> ~ Items Paid <br /> Application F Commercial Driveway $200.00 <br /> Total $200.00 <br /> . ~nrx ~uunir ru~t~ ~A - . <br /> 3848 N DEL1A HW <br /> EU6EI8:~ ~l. 97488-1636 <br /> i This fee is non fundable. The permit fee will <br /> be determined by public works and you will tERl~I~t I.D.: NB29H6V <br /> be contacted f r balance due. <br /> NERCHAHi No 9580144476 <br /> ' - <br /> NC PCARO <br /> 3##~86ii B <br /> SAI_e <br /> DRTCH: 800529 INV. 88D883 <br /> DA1Ec JUN Z7, 06 TIIE: 14:11 <br /> RAN: 830119 <br /> ~ OUST CODE: 113 <br /> ~ i AUS RESPONSES 1t <br /> TOTAL 5200,00 <br /> 0 7 -18 - O b P 1 2~ 4 3 R C V D I AGREE 10 PRV ABOUE TOTAI AItOUTlf <br /> i ACGOROIlHi iD CRRO ISSUER A6REEMEHi <br /> j I ~ ITgRCHRIIi ASREEMEHi IF CREDIT VOUCHER) <br /> ~ ~ CUS10lfR COPY <br /> . Thank you for your payment y <br /> 1' <br /> i <br /> <br />