Correspondence UPI • CITY OF TIGARD
Buildin g Division
TIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171
INVOICE
TO: West Hills Development Customer ID: 104847
735 SW 158th Ave. Invoice No.: INV2009-00001
Beaverton, OR 97406 Invoice Date: 12/29/2009
Date Due: Upon Receipt
Case No. Site Address Subdivision-Lot#or Project Name Amount Due
MST2009-00154 14272 SW Alpine Crest Way Alpine View,Lot 2
Plan Review Balance $375.85
CDC Plan Review 46.00
CDC Plan Review-LRP Fee 6.00
Erosion Plan Review- COT 36.40
PR,°
Invoice Total: $464.25
0 Please see attached fee schedule for description of fees due.
(Detach and return this portion with payment.)
Case No.: MST2009-00154 Customer ID: 104847
Site Address: 14272 SW Alpine Crest Way Invoice No.: INV2009-00001
Project: Alpine View,Lot 2 Invoice Date: 12/29/2009
Date Due: Upon Receipt
Invoice Total: $464.25
Amount Paid: $
Office Note: Remove parcel tag& forward copy of receipt to Dianna Howse for invoice file.
Please mail payment to:
City of Tigard,Building Division
13125 SW Hall Blvd.
Tigard, OR 97223
Attn: Dianna Howse
I:\Building\Accounting\Invoice.doc 04/06
CITY OF TIGARD RECEIPT
� 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 176561 - 01/13/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2009-00154 Plan Review 2300000-43106 $375.85
MST2009-00154 CDC Plan Review, RES 1003100-43112 $46.00
MST2009-00154 CDC Plan Review, RES- LRP 1003100-43117 $6.00
MST2009-00154 Erosion Plan Review COT 2300000-43102 $36.40
Total: $464.25
PAYMENT METHOD CHECK# CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 41225 DHOWSE 01/13/2010 $464.25
Payor West Hills Development Co.
Total Payments: $464.25
Balance Due: $0.00
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