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l ~~~'g33 <br /> <br /> ,..'City of Euge a INVOICE <br /> P@rmit and Informa ion Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 06- 05896- 01 <br /> Olwner: <br /> 992 WILLIAMS ST Cashier KEW <br /> GRASSAUER MA C <br /> 2210 COMSTOCK AVE Invoice Date 09/17/07 <br /> EUGENE OR 97408 <br /> Extension PDD/BPS <br /> Phone: (541) 344 2010 <br /> Erosion Preventio Project Name: Jake's Place Subdivision <br /> Amount <br /> GL Code Descri tion <br /> 1 ~a - - - - <br /> 1-4211-45226-0 0-000000 Erosion Administrative Fee (8%) 64.80 <br /> 151-4220-45590-0 0-000000 Land Use Compatibility 60.00 <br /> '5J5-9323-42450-0 0-000000 Erosion Prev -Commercial-New 1 acre 750.00 <br /> 505-9951-45996-0 0-000000 Erosion Prev - 12000 DEQ 50.00 <br /> ill to C of E / P E -Attn: Debbie Clark - GJN4451 Amount Due: 924.80 <br /> r--... _ _ <br /> ROl.i3 2te II G) /v <br /> To S <br /> Job No. <br /> Contr N . <br /> Ass sent? YES or - ; .i , <br /> I appr a thi forj~aym " ' ' <br /> Signat e Ste ~ <br /> . <br /> Questions concern ng this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> Gall: Nancy Ric City of Eugene <br /> (541) 682- 456 Finance Department <br /> PO Box 1967 <br /> Eugene, OR 97440 <br /> THANK YOU FOR YOUR BUSINESSI <br /> ~I Customer C py PIC Copy [ J Finance Copy <br /> Page 1 of 1 <br /> - , <br /> <br />