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r U315 <br />i- <br />oCANNE Public Works <br />MaintenanceLocation 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 />Building <br />-LP___:___ <br />L.L.CL----------------------------------Owner <br />□ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No. 13-05^0-01 ____________ <br />nantrnrtnr/PInmhpr )T- 6 E%XJX \ )^ ' "!Pipf> Mntftrinl H & Pipp DiameterJlf <br />□ System Development Charge <br />Inspected By <br />of Issue £ ~ 19Date if <br />□ Right of Way Cut Permit Required <br />Installation Date _____ <br />aranM to attach pftvat* <br />7-a-n L- <x <br />to h toCtty standard* and <br />Public Wastewater Information <br />——— Segment No.Ops tr com Dovmatr«on <br />7-Index Page No.,Contract No. <br />TWO WORKING DAYS BEFORE YOU DIG. CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />/'f', ,it ^ <br />33 <br />3' <br />4 <br />Ygu .•tf- ‘ 5 7 de&p i <br />13 $ 33/32-CP <br />)9> <br />^—39'3 <br />KJ&itvCCa- Lp, <br />. i .