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City of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 03- 03444- 01 <br /> Owner: <br /> 2000 S BERTELSEN RD <br /> CITY OF EUGENE/AWE Cashier CXC <br /> 244 ~ BROADWAY Invoice Date 07/25/03 <br /> EUGENE OR 97401 <br /> Phone: ( ) - Extension PDD/BPS <br /> Excavate Project Name: WILLOW CORNER <br /> L Code Descri tion Amoun <br /> 151-0000-21950-000-000000 State Surcharge on Site Development 28.04 <br /> 151-4210-45226-000-000000 Site Develop Administrative Fee 30.00 <br /> 151-4243-45301-000-000000 Grading Permit Fee 400.50 <br /> Bill PWE / GJN #4013 /Wade Dudley /Willow Corner Amount Due: 458.54 <br /> u.~l s ~ I <br /> -f~ cT - send ~ Ike bhp C /a.. K <br /> iout~~ Da e '7~4 d <br /> 5vlo q3~~ ~z~~ ~JoI <br /> No. ~ <br /> Contr No. <br /> Assessment S NO <br /> I r et ' f p <br /> Sign ure Dats 9a d <br /> <br /> Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> <br /> Call: Debbie Newhard City of Eugene <br /> (541) 682-8822 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 />