HomeMy WebLinkAbout16 Arundel Road - SL - 2022.10.14 (25)9
Address: I -b to Z–U-V\ ri V�, 1
Owner
Contractor Name:
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: lb I it
Building Permit #: ,F20 — 0 ZAn
Encroachment Permit#: r—
Cleanout Location: Q5L wont 11 Rear ❑ Left ❑ Right
Face of Curb
Lateral Size:
Cleanout: ❑ Existing � New Installation
Comments and/ or
Sketch:
Test Type: Water ❑ Air
Status: I�K Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year ❑
Partial Repair Made 10 Year ❑
New Installation 25 Year