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0905 <br />City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: <br />CITY OF EUGENE - PUBLIC WORKS EN <br />99 W BROADWAY <br />EUGENE OR 97401 <br />Phone: (541) 682-8460 <br />Site Address : <br />500 BERNTZEN RD <br />Q INVOICE <br />Log Number <br />09- 01475- 01 <br />Cashier <br />CXC <br />Invoice Date <br />11/06/09 <br />Extension <br />PDD/BPS <br />Site Dev/Site Work Project Name: Fire Station 8 <br />GL Code Description <br />151-4211-45226-000-000000 Plumbing Admin Fee, State (9%) <br />151-4242-42553-000-000000 Sanitary Sewer Footage <br />151-9951-45989-000-000000 State Surcharge, Plumbing (12%) <br />Bill to CofE/PWE/GJN 4595/Attn:Adam Steffen <br />I ~ q 3(.0 - - Co 18Co~- <br />Amount Due: <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 BUSINESS! <br />Customer Copy F-] PIC Copy Finance Copy <br />Amount <br />20.16 <br />224.00 <br />29.30 <br />273.46 <br />Page 1 of 1 <br />