HomeMy WebLinkAbout30 Bancroft Road - SL - 2022.10.04 (10)Address: iD �RJLJI Ur: YLO.
Owner: NFJhQF� lMnC TN Vil4h
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: I i) I r'1 ) "LZ
Building Permit #:
Contractor Name: Th Sto ,�T PLIAjn6%,-'5L IvJt— Encroachment Permit
City Staff Name: 17AV LO e/oILJ(v- R
Cleanout Location: ® Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Size:
Cleanout: Q Existing ❑ New Installation
Comments and/ or n
Sketch: WkT9,.A, lat?s
Test Type: 9 Water ❑ Air
Status: fe Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year ❑