Aft <br />City of Eugene Planning <br />Method of Payment <br />❑ Cash <br />❑ Check <br />0 Credit/Debit Card <br />Amount Received <br />G S ( 0 � C( <br /># Application Type <br />1 Site Review <br />2 Fire Review Fee <br />3 Adjustment Review - Minor <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />Other <br />Other <br />Appeal <br />Appeal <br />PLANNING INVOICE <br />DATE s�1;�iZa <br />Customer Information <br />Name: Carol Schirmer <br />Address: PO Box 10424 Eugene, OR 97440 <br />Project: Bushnell University <br />Modification Concurrent Qty <br />1 <br />1 <br />1 <br />Base Fee Discount <br />Total <br />$ 5,224.00 <br />$ <br />5,224.00 <br />$ 154.90 <br />$ <br />154.90 <br />$ 548.00 25,0 <br />$ <br />411.00 <br />Subtotal App Fees $ 5,789.90 <br />Subtotal Other Fees $ - <br />Subtotal Appeal Fees $ - <br />Ad min Fee (not included on appeals or other fees) 9% $ 521.09 <br />Total $ 6,310.99 <br />Notice: Scammers are impersonating the City of Eugene and are attempting <br />to collect payments on land use applications. The City of Eugene will never <br />Staff Receiving Application ask you to wire money directly into an account and emails from City staff will <br />RAS end in either "@eugene-or.gov" or "@ci.eugene.or.us". The City can accept <br />the following forms of payment: credit/debit card, check or cash. <br />Building Permit Services • 99 West 1 Oth Avenue, Ste 290 • Eugene, Oregon • 97401 • 541-682-5377 <br />