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!lr <br />5, <br />Public Works <br />MaintenanceLocation of <br />Wastewater Connection 1820 Roosevelt Blvd. <br />Eugend, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address —:------- <br />Map and Tax Lot—! <br />Building Type: <br />1 Tra^ Ln. <br />LLC <br />155^ <br />_________:___________Owner <br />□ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No._90- OOCf\b-Q\\-l-30Date of Issue <br />C'~'ntroctr>r/PI|imhpr ^Material(Tj ^0- Pipe Diameter. <br />//H <br />□ Right of Way Cut Permit Required <br />g-iq- ae> <br />□ System Development Charge <br />,a C^a. SSc.Inspected By <br />*1 conformnanc* to CHy standards and ipicitkation* <br />Installation Date <br />rarmtmtlcn tranHd to attach prfvota ccnfHctfoa to pubHc <br />Public Wastewater Information <br />Index Page No. <br />Inspected By <br />DownstreafnSegment No.Contract No. <br />TWO WORKING DAYS BEFORE YOU DIG. CAU. UTIUTY ONE-CALL SERVICE AT 1-800-332-2344 <br />Zb't - -- IOO 7N I <br />I <br />^ \^',s 7 ^eep <br />/9f \ <br />Zt <br />/ <br />1 <br />& <br />v? <br />, i.