HomeMy WebLinkAbout1504 Cortez Avenue - SL - 2022.08.23 (10)I
City of Burlingame
Public Works Department
Sewer Latera! Test Certificate
Address:
Owner:
Conlroclor Nome:
City Stoff Nqme:
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Tesled Dole:
Building Permll #:
Encroochmenl Permll #: ?w?'1' - 0 { r'l
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Cleonoul Locolion:E Front Dlc Rear tr Left tr Right
lolerol Size:
Cleonoul:
Commenh ond/ or
Skelch:
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Sewer Lateral Condition:
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No Repoir Needed l0Year El
Porliol Repoir Mode 10 Year tr
New lnslottollon 25 Year tr