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°,-IS-~Z <br />~. <br />City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: I~ ~J Ad n ~ ~ ~ > <br />CITY pF EUGENE - FACILITI GT <br />210 CHESHIRE ST <br />EUGENE OR 97404 <br />Phone: (541) 682-2690 <br />Site Address <br />28801 DOUGLAS DR <br />Reroof Project Name: Eugene Airport <br />INVOICE <br />Log Number 02- 03018- 01 <br />Cashier KEH <br />Invoice Date 08/06/02 <br />Extension PDD/BPS <br />151-0000-21950-000-000000 Building Permit Surcharge 56.04 <br />151-4210-45226-000-000000 Building Admin 116.71 <br />151-4243-42551-000-000000 Building Permit Fee per BLDG DIV Value 800.59 <br />151-4243-45220-000-000000 Fire/Life Safety Plan Check fee 320.24 <br />151-4243-45578-000-000000 Adjusted Building Plan Check fee 490.38 I <br />Bill to City of Eugene Facilities / GJN 4060 / Attn: Brad Black <br />toc8c~2 <br />SrZ -~i 33y /~~'35`0 ~ 3 <br />Amount Due: 1,783.96 <br />Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br />Call: Gloria Stott City of Eugene <br />(541) 682-5284 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 />