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(o~~r~ <br /> ity of Eugene INVOICE <br /> 'P rmik and Information Center <br /> 'E gene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 08- 02541- 01 <br /> caner: <br /> 2727 BLACKTAIL DR Cashier TXS <br /> TY OF EUGENE - PW PARKS & OPEN <br /> 1 20 ROOSEVELT BLVD Invoice Date 07/17/08 <br /> UGENE OR 97402 <br /> Extension PDD/BPS <br /> hone: ( ) - <br /> ite Dev/Site Work Project Name: Videra Park <br /> ~ 1 1-4211-45226-000-000000 Plumbing Administrative Fee (9%) ~ 7.26 <br /> ' 1 1-4242-42553-000-000000 Backflow Prevention 18.U0 <br /> 1 1-4242-42553-000-000000 No. of Fixtures 18.00 <br /> <br /> a 1 1-4242-42553-000-000000 Basic Permit Fee ~ 36.00 7a, p(~ <br /> 3 11 1-9951-45989-000-000000 State Surcharge for Plumbing Perm (12%) 3 8.64 <br /> Bill to COE/GJN4418/Attn:Debbie Clark X 57a Amount Due: 87.90 <br /> 33(p -~~3~5--~'7~11 18~t~a- <br /> uestions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> all; 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 />