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(~ ~3'~ 3 <br />City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: <br />CITY OF EUGENE - PW ENGINEERING <br />858 PEARL ST 1ST FL <br />EUGENE OR 97401 <br />Phone: (541) 682-5291 <br />Site Address <br />1260 EVERGREEN DR <br />INVOICE <br />Log Number 08- 02459- 01 <br />Cashier JMK <br />Invoice Date 07/25/08 <br />Extension PDD/BPS <br />3 <br /> Site Dev/Site Work Project Name: Rosetta Park <br /> ~L Code ~ Description _ _ Amoun <br /> 151-4211-45226-000-000000 Electric Administrative Fee (9%) 6.55 <br /> 151-4211-45226-000-000000 Plumbing Administrative Fee (9%) 10.79 <br /> 151-4211-45226-000-000000 PW Administrative Fee (9%) _ / 24.12 <br />. ~'' ~/(~ <br />~.--- <br />a 151-4240-42554-000-000000 Restricted Energy -Commercial ~ 65.00 <br />.~ - <br />_ _ <br />15 24115 241 42-42553-000-000000 <br />Water Service Footage w.. ~ <br />. _ __........_ <br />89.00 _ ~.,...____ <br />~::. 151-4242-42553-000-000000 Backflow Prevention ~. 18.00 '~~~ ~~~ <br /> 151-9321-42120-000-000000 PW Limited Dev/Grade & Fill Review 60.00 <br />~,~! 151-9321-42120-000-000000 Stormwater Mgmt Facility Review ~ 208.00 a(~~,;~~ <br />~51-45989-000-000000 State Surcharge for Electrical Pmt (12%) 7.80 <br /> 151-9951-45989-000-000000 State Surcharge for Plumbing Perm (12%) '~' 12.84 aU ~a~/ <br />Bill to City of Eugene, PWE, Attn: Scott Milovich, x6086 GJN 4402/ Rosetta <br />Park <br />Amount Due: 502.10 <br />Questions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br />Call: Nancy Rich City of Eugene <br />(541) 682-5456 Finance Department <br />PO Box 1967 <br />Eugene, OR 97440 <br />THANK YOU FOR YOUR BUSINESSI <br />Customer Copy ^ PIC Copy ~ Finance Copy <br />Page 1 of 1 <br />