bm-1: .i'-. <br />Location of <br />Wastewater Connection <br />Public Works <br />Maintenance <br />1820 Roosevelt Blvd. <br />Eugeni, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address . '_;—’ • :----- <br />Map and Tax Lot------ <br />Building Type: fil SFD <br />Oo^tp st 7 <br />RtCVCv <br />□ Duplex □ Multi—Family □ Commercial Q Industrial <br />Owner <br />Permit Information <br />Permit Nn. Y\-OU b2.Z~ 0\ ___Date of Issue ^ <br />CrTitm^r/PInmbpr FC^pjpe Material S^UjP.vZ'oZf ipe DiameterJrL- <br />□ Right of Way. Cut Permit Required □ System Development Charg^ <br />Installation Date \ t ---------------- . Inspected By <br />PamMai ormM to attach pfHota coanvMoa to poMc mmt h conformnahca to Oty Handardm ahd tpadlkatkn*. <br />Public Wastewater Information <br />Index Page No.—Upstream DownstreamSegment No.Contract No. <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />l <br />! <br />i>o;4 i <br />4/ <br />\or <br /><—=N lo'-C l-> <br />X,S <br />^ TT^b^,, <br />2^4 o \i o2 b'i