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7i4a(e <br />City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: <br />CITY OF EUGENE - FACILITIES MGT <br />210 CHESHIRE AVE <br />EUGENE OR 97401 <br />Phone: (541) 682-2690 <br />Site Address : <br />1820 ROOSEVELT <br />BLVD <br />INVOICE <br />N'W~ <br />Log Number 10-03121-01 <br />Cashier TXS <br />Invoice Date 07/26/10 <br />Extension PDD/BPS <br />Tank/s Project Name: <br />GL Code Description Amoun <br />151-4211-45226-000-000000 Building Admin Fee Local (9%) 7.20 <br />151-4211-45226-000-000000 <br />151-4211-45226-000-000000 <br />( 151-4211-45226-000-000000 <br />151-4243-42551-000-000000 <br />3 151_151_4243-45220-000-000000 <br />151-4243-45578-000-000000 <br />j, 151-4243-45578-000-000000 <br />-1-51-9321-42120-000-000000 <br />151-9M1-45989-000-000000 <br />t535--9323-42450-000-000000 <br />0 <br />Building Plan Check Admin Fee (9%) <br />PW Plan Check Admin Fee (9%) <br />Building Admin Fee, State (9%) <br />Building Permit Fee per BLDG DIV Value <br />Fire/Life Safety Plan Check fee <br />Building Plan Check per Applicant Value <br />Supplemental Plan Review - Building <br />PW Plan Check - Com'I add/alteration <br />State Surcharge, Structural (12%) <br />Erosion - Non-Permitted Site <br />Bill to COE/Damon Joyner 682-4835/1820 Roosevelt De-Icing Tank Installation <br />535-- qLt -715 , IptIF L. <br />Questions concerning this invoice? <br />Call: Nancy Rich <br />(541) 682-5456 <br />10.99 <br />34.38 <br />6.35 5$,g~ <br />70.56 <br />28.22 <br />45.86 <br />48.00 9 <br />~ 382.00 <br />9.23 <br />..7 80.00 <br />Amount Due: 722.79 <br />MAKE ALL CHECKS PAYABLE TO: <br />City of Eugene <br />Finance Department <br />PO Box 1967 <br />Eugene, OR 97440 <br />THANK YOU FOR YOUR BUSINESS! <br />Customer Copy PIC Copy D Finance Copy <br />Page 1 of 1 <br />