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bbL?\b57 <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-----1 <br />Building Type: ^J-SFD <br />15Q5~ Akfta Dr. <br />L.LC--------------------------:--------Owner <br />□ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No.__\c\ - oo'jn-oi <br />Contractor/Plumber - L L-KcaUATiOMPipf; Material SC^-HO <br />Date of Issue <br />Pipe Diameter. <br />□ Right of Way Cut Permit Required <br />Installation Date __^ '(9 ^ ' -------- <br />□ System Development Charge <br />Inspected By <br />h conformnanct to Oty tiandarda and tpactlkaikna. <br />La.Co.SSe <br />PfmJnkn grantmd to attocfi prtoata connacHoa to putOc <br />Public Wastewater Information <br />Index Page No.- <br />Inspected By <br />A--------Contract No.s 7 Segment No. <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />t <br />V? <br />dl <br />i 1k> i/?\ <br />n c9o S' <br />if <br />S'deef I <br />o V