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bbbh?;■ <br />?•■| <br />i <br />Public Works <br />MaintenanceLocation of <br />Wastewater Connection 1820 Roosevelt Blvd. <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address ___-i_ <br />Map and Tax Lot <br />Building Type: <br />Nebraska <br />h kl-LOwner <br />SFD □ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No.______Date of Issue n <br />Pipe DiameterJl/.Pipe Material <br />□ Right of Way Cut Permit Required <br />Installation Date __j S <br />PwmMan granted la attach prtvata <br />□ System Development Charge <br />La, C.& <br />h conformnanct to CM/ •iandordm and •pocNfcaVon* <br />Inspected By <br />eonnocthn to pobtk <br />Public Wastewater Information <br />Index Page No—mSegment No. i^4^0.Contract No. <br />TWO WORKING DAYS BEFORE YOU DKS, CALL UTILITY ONE-CALL SERVICE AT 1-BOO-332-2344 <br />t <br />W <br />i <br />I <br />\- <br />I <br />I <br />I <br />J