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&1qq 1() <br />City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: Site Address : <br />200 DAY ISLAND RD <br />CITY OF EUGENE - FACILITIES MGT <br />210 CHESHIRE AVE <br />EUGENE OR 97401 <br />Phone: (541) 682-2690 <br />Combination Specialty Permit <br />Project Name: <br />GL Code <br />Description <br />151-4211-45226-000-000000 <br />Electric Plan Check Admin Fee (9%0) <br />151-4211-45226-000-000000 <br />Plumbing Plan Check Admin Fee (9%) <br />151-4211-45226-000-000000 <br />Electric Admin Fee, State (9%) <br />151-4211-45226-000-000000 <br />Plumbing Admin Fee, State (9%) <br />151-4240-42554-000-000000 <br />200 amps or less <br />151-4240-42554-000-000000 <br />201 to 400 amps <br />151-4240-42554-000-000000 <br />Branch Circuits w/feeder or svc <br />151-4240-42554-000-000000 <br />- <br />Signal / Panel <br />1-4240-45223-000-000000 <br />,J3 15 <br />Electric Plan Check Fee <br />151-4242-42553-000-000000 <br />Removal, Abandonment, Cap of Fixture <br />151-4242-42553-000-000000 <br />No. of Fixtures <br />151-4242-42553-000-000000 <br />Water Service Footage <br />151-4242-42553-000-000000 <br />Backflow Prevention <br />151-4242-45222-000-000000 <br />Plumbing Plan Check <br />151-9951-45989-000-000000 <br />State Surcharge, Plumbing (12%) <br />Customer Copy PIC Copy F-] Finance Copy <br />INVOICE <br />Log Number 10-01086-01 <br />Cashier CXC <br />Invoice Date 03/17/10 <br />Extension PDD/BPS <br />Amount <br />20.73 <br />26.15 <br />59.22 <br />r 74.70 ~SO.gy <br />396.00 <br />127.00 <br />70.00 <br />'2 65.00 ty58,OtJ <br />3 230.30 <br />27.00 <br />90.00 <br />677.00 <br />4t 36.00 $50. Oy <br />cj 290.50 <br />108.56 <br />Page 1 of 2 <br />