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City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: <br />CITY OF EUGENE - PW WASTEWATER <br />410 RIVER AVE <br />EUGENE OR 97404 <br />Phone: (541) 682-8600 <br />Site Address : <br />410 RIVER AVE <br />INVOICE <br />Log Number 10- 00637- 01 <br />Cashier IRW <br />Invoice Date 10/25/10 <br />Extension PDD/BPS <br />Electric InPlant Project Name: Electric InPlant <br />GL Code Descri tiori' , Amoun <br />151-4240-45224-000-000000 Electric InPlant Inspection Fee 240.00 <br />151-9951-45989-000-000000 State Surcharge, Electric InPlant (12%) 28.80 <br />lectrical Inplant inspection on 10/20/10 at various City of Eugene locations by <br />=rank Casebolt. <br />535`1~1(4 <br />Amount Due: 268.80 <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 F-] Finance Copy <br />Page 1 of 1 <br />