New Search
bb'b'^b»» <br />4. <br />Public Works <br />MaintenanceLocation of <br />Wastewater Connectio 1820 Roosevelt Blvd. <br />Eugend, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address ____ <br />Map and Tax Lot__Owner <br />Building Type: |fl SFD □ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No. Q\ <br />Contractor/Plumber__f\ <br />07/24/ \q <br />Pipe Material Pipe Diameter^ <br />□ System Development Charge <br />Inspected By NLCt,A<^VlC.t <br />ctmtdkm to pubUc mmr h oonformnanc* to Oty rtandardu and tp^dthaHona. <br />Date of Issue <br />□ Right of Way Cut Permit Required <br />Installation Date _ <br />Ptmitlon amnt+d to ottocH prtvatm <br />I D / 4 V / \ ^ <br />Public Wastewater Information Inspected Ely <br />Index Page No.:Segment No.Contract No.Upatream Downstream <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTTUTY ONE—CALL SERVICE AT 1-800-332-2344 <br />a^yo <br />£ <br />iu <br />Tz <br />s <br />T <br />i l <br />c/c F <br />T <br />211 tO 0 <br />. I