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f?-•v -1:• / <br />Public Works <br />MaintenanceSCANNED mLocation of <br />Wastewater Connecti 1820 Roosevelt Qlvd. <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address ■_____ <br />Map and Tax Lot <br />Building Type: □ SFD <br />'330 and 3 HO Mio-Iur). <br />Lu) oOwner <br />^-Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No./d/aqjn <br />Onntrnrtnr/Plnmhp.r Pi Ulfr^I Pipe Mntftrinl <br />□ Right of Way Cut Permit Required <br />Installation Date ----------------------:----------- <br />n-lQ5Zl-Q)Date of Issue 3"Pipe Diameter. <br />□ System Development Charge <br />La.f_a<£eInspected By <br />h conformnonc* to City ttandordt and tptcitkaUan*.PwmJmkti granM to attach private conn^ctioa to public <br />Public Wastewater Information <br />qg <br />Inspected By <br />Segment No.Index Page No.Contract No.Downstream <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />'T /T <br />5 <br />, f'4t IQ Q <br />y*ciAlip'Yv -jOk.* <br />r <br />/ <br />. i