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<br /> m6?~12006 TUE 1~;57 FAX 541 682 8500 LANE COUNTY P\W DELTA 1~J001/001 <br /> Lane County Department of public Works Receipt No 1996 <br /> Facility Permit -Receipt of Payment <br /> ~ Lane County Public Works <br /> 3040 N. Delta Hwy. <br /> Eugene, OR 97408 <br /> ~ (54~,) 682-6902 <br /> ermit 060641 Receipt Date 06/27/2006 <br /> eceipt For ITY OF EUGENE <br /> 58 PEARL ST <br /> I' GENE, OR 97401 <br /> ethod of Paym qt Mastercard <br /> Amount Paid $200.00 <br /> I, <br /> terns Paid Amount <br /> pplication Fee Commercial Driveway $200.00 <br /> Total $200.00 <br /> Anne 6VUflIY ru~tl~ NUIfR - <br /> 3848 N DEL1R NW <br /> This fee is nonre undable. The permit fee will EU6ENE~ 0R. 97408-1636 <br /> b~ determined b public works and you will iERNINAt I.D.: N814H6V <br /> b~ contacted for alance due. <br /> f~RCNANi N: 9500194976 _ <br /> NC PCARD <br /> ` sQ>#306b # <br /> BA1CH; 800514 INV. 899903 <br /> DAiE: JUN 21. 06 1INE: 14:11 <br /> AU1N: B38Z19 <br /> CUSi CODE: 113 <br /> AVS RESPONSE V <br /> TOTAL #2$0,@0 <br /> ~I <br /> I AGREE 10 PAV A80UE i0iAl AHOUHI <br /> ACCORDIli6 1D CRRO ISSUER A6REEI4vN1 <br /> (~RCNAiii AeREENEHi If CREDIT VOUCHER? <br /> CU510HER COPY <br /> Thank you for your payment <br /> <br />