0 5c-1_7 <br />City of Eugene <br />Permit and Information Center <br />Eugene, OR 97401 (541) 682-5086 <br />Owner: <br />CITY OF EUGENE - PW PARKS & OPEN <br />1820 ROOSEVELT BLVD <br />EUGENE OR 97402 <br />Phone: ( ) - <br />Site Address : <br />575 MARY LN <br />hok <br />INVOICE <br />Log Number 07- 05992- 01 <br />Cashier CXC <br />Invoice Date 12/14/07 <br />Extension PDD/BPS <br />Retaining Walls <br />Project Name: Lafferty Park <br />- GL Code <br />_Description <br />L Amoun <br />151-4211-45226-000-000000 <br />Building Administrative Fee (8%) <br />12.66 <br />151-4243-42551-000-000000 <br />Building Permit Fee per BLDG DIV Value <br />90.97 <br />151-9951-45989-000-000000 <br />State Surcharge for Building Permit 8% <br />7.28 <br />535-9323-42450-000-000000 <br />Erosion - Non-Permitted Site <br />60.00 <br />3ill PWE/#311-9335-6183a-985222/Attn: Rob Hallett x4846 <br />Questions concerning this invoice? <br />Call: Nancy Rich <br />(541) 682-5456 <br />Amount Due: 170.91 <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 BUS/NESSI <br />❑ Customer Copy ❑ PIC Copy ❑ Finance Copy <br />Page 1 of 1 <br />