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i •' <br />i: <br />Public Works <br />MaintenanceSCANNLocation of <br />Wastewater Connection 1820 Roosevelt Blvd. <br />Eugene, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address ____:__:__ <br />Map and Tax Lot__ <br />^7^ Hope Lp. <br />Habi-fa-f -for HumanityOwner <br />Building Type: ^TSFD □ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No.tq-oiso^-pi <br />r/Plumber ,<d . <br />□ Right of Way Cut Permit Required <br />Installation Date <br />Date of Issue — 'd- b ~ I ^ <br />Pipe Mntprinl oZH/ fjcMOpipp DiameterJIL <br />n <br />Contracto <br />□ System Development Charge <br />Lo.C,o.c,seInspected By <br />corwrtfcw to pubOc —nr h cenformnanc* to CXy itandanti and wpidikation*rtrmMtbn gnMtM to aitodi piAntm <br />Public Wastewater Information Inspected By . <br />Segment No—HIndex Page No.Contract No.Downstream <br />TWO WORKING DAYS BEFORE YOU DIG, CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />'t <br />/\J <br />i <br />y?i <br />3 k <br />Vg <br />7' <br />/i 8'I <br />. d