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e ■■t. ' <br />r <br />Public Works <br />MaintenanceLocation of <br />Wastewater Connection 1820 Roosevelt Blvd. <br />Eugeni. Oregon 97402 <br />(541) 682-4800 <br />•< <br />Property Information <br />Address ■ <br />Map and Tax Lot <br />Building Type: <br />^£>37 Romy <br />Bru<:e. WiecherfOwner <br />□ Duplex □ Multi-Family □ Commercial □ IndustrialSFD <br />Permit Information <br />Permit No. ^ ' OH ' O (________ <br />Contractor/Plumbpr EX-C-- <br />□ Right of Way Cut Permit Required <br />Installation Date <br />Date of Issue <br />Pipe Mntftrinl 5cJf\ L(Q pjpe DiameterT. <br />□ System Development Charge <br />Inspected By LaC-Azs €-_________ <br />h confomnancm to (My ttandard* and ycftfortfoo* <br />// <br />Parmhikn §ranM to attach prhota connacttoa to pubOc <br />Public Wastewater Information <br />Index Page No- <br />Inspected. B33773- <br />upstream£3 7Segment No.Contract No. <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />i <br />45 <br />OTTis <br />s' <br />7" <br />/ <br />/ <br />17 -73377^ <br />ISO’—^ <br />. f.