HomeMy WebLinkAbout1130 Paloma Avenue - SL - 2022.09.01 (10)City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address:
Owner:
Conlroclor Nqme:
City Stoff Nome:
I'MA AUE
orsoN - 6LU D cA\FOrT
rc*eaoore: On
Buildlng Permil #:
D AR NA
Cleonout Locolion:E Front d*"",tr Left tr Right
loterol Size:
Cleonoul:
Commenh ond/ ol
Sketch:
LOS9
t)"
$ a*OOn, tr Newtnstalation
w nrEP_ trsr ?Ae4e D
Wqler trAk
Poss tr Foit
L€99 rHA LT 6A[bNS
Slolus:
Sewer Lateral Condition:
10 Year
Mode 10Year trPorliol
New lnslollolion 25 Year If