•1? • <br />S'. <br />;■ (r <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: ^f'SFD <br />1533* A'JC <br />f" ProntoOwner <br />□ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No. <br />Contractor/Plumber ----- <br />□ Right of Way Cut Permit Required <br />Installation Date ---------------------------------- <br />PmtMon aranM to oitocfi privato nmtr comocifom to potOc <br />, i-io-n <br />Pipe Material Pipe Diameter_I <br />IS-OHMSl'Ol Date of Issue »« <br />□ System Development Charge <br />L a.OoLInspected By <br />*» eonfarmnanco to Oty tiarxfartit and tpoeMoathmo. <br />Public Wastewater Information <br />Index Page No.41 Segment No.Contract No. <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />/\\Pv0 <br />N <br />r^b% <br />ii <br />i3 <br />% 8^1