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ft ■■ <br />l- <br />Public Works <br />MaintenanceSCANNEDLocation of <br />Wastewater Connect!1820 Roosevelt Blvd. <br />EugenO, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address ____:__ <br />Map and Tax Lot — <br />Building Type: ^SFD □ Duplex □ Multi-Family □ Commercial □ Industrial <br />~7 ~7 7 AJehrask^. £/f <br />Cov\c epfsC?an\ R BuiidiOwner <br />Permit Information <br />Permit No.\q-O3IS0-Q] <br />Controctor/Plumber Pr£W5 <br />Date of Issue IS' <br />Pipe Material /]{^_____Pipe Diameter.H" <br />□ Right of Way Cut Permit Required <br />Installation Date _~ I H <br />rwmlmhn granted to attocti priwit <br />□ System Development Charge <br />L-cKCrasseInspected By <br />ccnfoinvhjac* to Cfty ond Mptcftfcoifcnz.conmctio* <o pobffc <br />Public Wastewater Information <br />Index Page No.iu^nspe«93.Segment No.Contract No.Upstreom Downalreorn <br />TWO WORKING DAYS BEFORE YOU DJG, CAU. UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />N <br />)(o <br />I/- I/ <br />I <5, <br />£ )%(oO <br />. i