HomeMy WebLinkAbout737 Linden Avenue - SL - 2022.10.14 (25) - (Units 737-739)Address:
Owner: "i S1 L�tv.h x
Contractor Name: $ QV C'r.Eta, ci kOv--A
City Staff Name: 5tvft—
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City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: (o h((—L-'2
Building Permit#: Tl�i. -a—Oki
Encroachment Permit#:
Cleanout Location:
❑
Front
-B�Rear
❑
Left
❑
Right
Face of Curb
Lateral Sze: tj \\
Cleanout: ❑ Existing X] New Installation
Comments and/ or
Sketch:
Test Type: iB' Water ❑ Air
Status: .0' Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Pa air Needed 10Year ❑
Partial Pa air Made 10 Year ❑
New Installation 25 Year .,ET