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" bbb 13 <br />-i <br />> -■ <br />? ■..h .—!^ Public Works <br />MaintenanceLocation of <br />Wastewater Connection 1820 Roosevelt Blvd. <br />Eugene, Oregon 97402 <br />(541) 682-4800 . <br />mt <br />Property^ <br />Map and Tax Lot------ <br />Building Type: ffi SFD <br />7 <br />G;^CS W>QC.H\5fg-T- -______ • •_____: Owher <br />□ Duplex '□ Multi-Family □Commercial □Industrial- <br />Permit Information _ , . . <br />Permit Nn. ' |^ • Date of issue \ Z.j l ^ ^ <br />^nfrn^t^r/Piilrrlh^r. CTTT f-1 T''t ^ .'•.Pipe Material Pipe D.iameterj£_ <br />□ Right of Way.Cut Permit Required <br />Installation Date <br />PonnMon grant*/ to attach pttoiim wr corivcOoa to puMc <br />□ System Development Charge ' •, • <br />Inspected By L-lOYti ^ <br />h confonrinanc* to Oty itandard* aid tptcHteAkctv. <br />i /n / .-•^e <br />Inspected ByPublic Wastewater Information . . <br />Index Page No.:—LLI Segment No.-^=-^i-t3.Contract No.Upstreom <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />i <br />t'-z’ <br />r-s" <br />SCH bo l'-l"K1l <br />S' <br />o-ttrm'-T' <br />- UyU <br />>\x i <br />\> <br /><V <br />- 31^1 <br />: 20' <br />i <br /><------O 2214?Wo U^PGpAPi Ave