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Oity of Eugene <br /> Planning & Development Department <br /> Building & Permit Services <br /> <br /> 99 W. 10th Avenue <br /> <br /> Eugene, OR 97401 <br /> <br /> Customer Information: Billing Information: <br /> Customer Name/ ~ompmry. Dats <br /> Address Purchase Order Number (non-Cary departments) <br /> ~ctP.n~2 D ZEE 5 <br /> C1ry c Zfp ClryJob Number or.4ccount Cods <br /> Pc~ /c~.~ <br /> Customw Te/ephons Depar tit to be Bf <br /> Contact Name <br /> Quantity Description of Service PIC Revenue Code Amount <br /> ~ ~ C Zo o G ~ .cx~ <br /> ~2~s -s a <br /> Total Duc <br /> <br />