HomeMy WebLinkAbout737 Linden Avenue - SL - 2022.10.14 (25) - (Units 733-735)layftxu c e
Address:
Owner:
Contractor Name:
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
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Tested Date: � Z'L
Building Permit #: -b1 Z)- 0 6 t Z
Encroachment Permit #:
Cleanout Location: ❑ Front 00, Rear ❑ Left ❑ Right
Face of Curb
Lateral Size: �k
Cleanout: ❑ Existing .42r New Installation
Comments and/ or
Sketch:
Test Type: iu Water ❑ Air
Status: 0' Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ❑
Partial Repair Made
10 Year ❑
New Installation
25 Year �2r