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Home My WebLink About908 Park Avenue - SL - 2022.08.25 (10)!Gity of Burlingame Public Works Department Sewer Lateral Test Certificate Address: Owner: Conlroclor Nome: City Stotf Nome: 4og. gxvy- r"'tz Tesled Dole: Building Permil #: Encroochmenl Permil #:?\d LL' ()t{(S 1-2- W\r,u t-v< t*?1. tt,t{rs / ^{,() r>ts}rl- Cleonout Locolion:kFront tr Rear tr left tr Right Loterol Size: Cleonoul: Commenls ond/ or Sketch: nar,.,) t4 (./t1 ur>q tC q' E[ Existing tr New tnstallation rt- wrrH,.) 4o Test Tvpe: EI Woter trAh Slolus:tr Poss g Fol Sewer Lateral Condition: No Repqir Needed lOYear tr Porliol Repoir Mode l0Year tr New lnslqllolion 25 Year tr t''t,t PtaSP, <*6 , \^rtsrg,o- a9z-: ?rn a-b\< rt,\.04