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htM^o <br />\ <br />Public Works <br />MaintenanceLocation of . • - ' <br />Wastewater Connection 1820 Ro.Osevelt Blvd. <br />Eugeni; Oregon 97402 <br />(541) 682—4800 ; <br />Address lnformat,°V>06H <br />Map and Tax Lot--------r---------------------------:—r—Owner <br />. Building Type: □ SFD □ Duplex’ MultH-Family ^Commercial <br />Dobbin RtfLLC. <br />. □ Industrial • <br />Permit Information <br />Permit No. ^ ]______*____.Date of Issue 6~.l7~/<? <br />Contractor/Plumberf lOhgf Jf.T • Cea-St.Plpe Material^dl^/^Pip <br />□ System Development Charge <br />Inspected By La. CgC->C- <br />h cenfomncnc* to CHy •iaKhrtfa and tptctfcatfcn*. <br />u <br />He Diameter. <br />Right of Way Cut Permit Required <br />Installation Date -----^ ----------- <br />n.-rmhtkr, fraiM to Wtoeft prM» •*** arinteikntopobte <br />□ <br />Public Wastewater-Information. <br />Index Page ..No.,—H3 <br />i <<Lir)nspected By <br />Segment No. 1^^ ‘ -Contract No.Uownstrwm