HomeMy WebLinkAbout908 Park Avenue - SL - 2022.09.16 (25)BU,RLJNtiAIrtE
Address: I Uc> /fjj� 7frYG'
Owner:
Contractor Na me: V �N
City Staff Name: tt"�
Cleanout location:
Lateral Sze:
Cleanout: ❑ Existing
Comments and/ or
Sketch:
Front
New Installation
❑ Rear
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: '/6`ZZ-
Building Permit*0[/-32—
Encroachment Permit#: P�Ar—
❑ Left
❑ Right
n
Fail
Sewer Lateral Condition:
Exemption Type:
No Pa air Needed
10 Year ❑
Partials air Made
10 Year ❑
New Installation
25 Year