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Page 6 <br /> <br /> LETTER OP REQURST <br />FOR SERVICE CONNECTION <br /> <br />in compliance wi=n ORS 479.~[70. <br /> <br />~ermit Number: <br /> <br />Address of Service Loc&tion: <br /> <br />SigBature of Supervisor: <br /> <br />C.P.I. Information: <br /> <br /> <br />