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%yb%6ct> <br />Public Works <br />MaintenanceLocation of <br />Wastewater Connection SCWNNE 1820 Roosevelt Blvd. <br />Eugend, Oregon 97402 <br />(541) 682-4800 <br />Property Information <br />Address • <br />Map and Tax Lot__ <br />/j? 7^ John <br />Era v\ V Pr<o<dcr\Owner <br />Building Type: ^TSFO □ Duplex □ Multi-Family □ Commercial □ Industrial <br />Permit Information <br />Permit No. I ^ "O0^> ^ <br />Contractor/Plumber EjfdKJVX tl'yQC- <br />□ Right of Way Cut Permit Required <br />Installation Date <br />PamMon arjnt*d to attach pctvata <br />Date of Issue ^7 ~ 17 ^ ,, <br />Pipe Moterinl h. HO pipe Dlametar 7 <br />□ System Development Charge <br />Inspected By L-a <br />h ccnformnanco to Oty atandorda and tpachkadono. <br />7-/7-/? <br />connoctfoa to pubOc <br />Public Wastewater <br />Index Page No.41 formation <br />Upstream DownstreamSegment No.Contract No. <br />TWO WORKING DAYS BEFORE YOU DIG. CALL UTILITY ONE-CALL SERVICE AT 1-800-332-2344 <br />ka <br />7“ <br /><5 <br />-s:u o <br />HH <br />4"