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City of Eugene <br /> Planning & Development Department , <br /> Building & Permit Services <br /> 99 W. 10th Avenue <br /> Eugene, OR 97401 <br /> Customer Information: Billing Information• <br /> <br /> ~ ~'Y1GS riO-8~~( <br /> Curt Narns/Compmry pok <br /> ?60o s CFjO~-' <br /> Purchass Ordsr Numbsr (non-Cfty dspartmsnts) <br /> ~'lrf~~v~ l <br /> X 'T~odr? ~a38 <br /> C1ry, State, p Cfty Job Numbsr or Account Cods <br /> Pcy~ / G,n~er- ~e~~ <br /> Curtonur TskpJwns lkpartnu to bs Bflk <br /> Contact Nwns <br /> Quantity Description of Service PIC Revenue Code Amount <br /> ~ ~'t~s ~ o~ t2ooG Pr-mfi- ~~Q no a ~ a <br /> . I l~~t. ~s~ Co?n afi a,b~7~ 6. o a <br /> ,4-Qrn~, n ~e~ 4~ g~ <br /> ~ p~vs see ~~e~ h~Zl~%2~ I ~ go <br /> i Total Due <br /> <br />