City of Eugene Planning <br />Method of Payment <br />❑ Cash <br />❑ Check <br />❑ Credit/Debit Card <br />Amount Received <br />$597.32 <br />PLANNING INVOICE <br />DATE 5,19,2026 <br />Customer Information <br />Name: Carter Helikson Homes, LLC <br />Address: 3130 Willakenzie Rd <br />Eugene, OR <br />Project: Adjustment Review: 17-03-28-21-03400 <br /># ' <br />Applicdtion Type Motlificat►on concurre <br />Qty 4 Base Fee . Discovnf . <br />Total <br />1 <br />Adjustment Review - Minor <br />1 $ 548.00 <br />$ <br />548.00 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />Other <br />Other <br />Appeal <br />Appeal <br />Subtotal App Fees <br />$ <br />548.00 <br />Subtotal Other Fees <br />$ <br />- <br />Subtotal Appeal Fees <br />$ <br />- <br />Admi n Fee (not included on appeals or other fees) <br />9 J <br />$ <br />49.32 <br />Total <br />$ <br />597.32 <br />Staff Receiving Application <br />JTS <br />Building Permit Services • 99 West 1 Of Avenue, Ste 290 • Eugene, Oregon * 97401 • 541-682-5377 <br />