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bbGIS <br />Public Works <br />■ MaintenanceLocation of <br />Wastewater Connection 1820 RoOsevelt Blvd. <br />EugenO,- Oregon 97402 <br />(541) 682-4800 <br />S “1% Pe^hAc<, <br />OwnerMap and Tax Lot <br />Building Type:^TSFD □ Duplex "□ Multi-Family □ Commercial □ ipdustrial <br />permit Information <br />Permit No. __1-------— <br />Contractor/Plumber: <br />O Right of Way Cut Permit Required <br />Installation Date ------, ^ ~ ^ ' QQ <br />PrrwhHof} crvnM to attach prtvato —wr ccnhactha to fUOo tmr In txnfominaic* to Oty ttondonfa and ipacHkathnt. <br />-oil^'O .Date of Issue * <br />Pipe Material Pipe Diameter VHr.li&befa <br />□ System Development Charge <br />Lo-C aInspected By <br />Public Wastewater .Information <br />Index Page No.Upstream DownstreamHISegment No.— Contract No. <br />Qescho+eS A\ye.t <br />tsl <br />(U <br />^ ,, V'^ <br /><o157/64 <br />4 <br />■JecP1