City of Eugeae ~ V <br /> Planning &,Davelopment Department <br /> Building & Permit Services <br /> 99 W. 10th Avenue <br /> Eugene, OR 97401 <br /> Customer Information: Billing Information: <br /> customs. NamdCompa,ry pk <br /> 3 c s3 'r~.nnrr Pa, i~ <br /> <br /> .4ddrus Pwchass Ondsr Nwnbsr (non-Ctry depwtmcntsJ . <br /> Ctry, S , Zlp Ctry Job Numbsr or Account Cods <br /> SwF - b,n~ ~~r~e~-. <br /> Customsr Tdephons Dspartnunl to bs 6!llsd <br /> Contact Nama <br /> Q~tiry Description of Service PIC Revenue Code Amount <br /> I ~%tR~si'o t Zooo P~ rvlt - v no aQ•tiu~. ) ~ <br /> l ()S~ CbW1, ut'(ti (oi t ~ ~ ~ ~ <br /> ~ ~ go <br /> ~ yo s~ Gt~ta~ ~ZGoit,~ 8~ <br /> Total Due <br /> <br />