HomeMy WebLinkAbout2451 Easton Drive - SL - 2022.09.27 (25)City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address: Li Tested Date: Z
Owner: �_S i r I S �u' • ti v 0 r q Building Permit #:
Contractor Name: Y (pJ-I( ,. i \"144" H � - Encroachment Permitit: ]> tf o 1 („ i
City Staff Name: �NIva— (-,-0, U�
leanout Location:
❑ Front
❑ Rear
❑ Left ❑ Right
No Repair Needed
10Year ❑
Face of Curb
10 Year ❑
New Installation
25 Year ..@'
Lateral Size:
t�L1
Test Type: 0' Water ❑ Air
Cleanout:
❑ Existing New Installation
Status: a Pass ❑ Fall
Comments and/ or
Sketch:
SL1J�✓ �.Jwh f..GKt/1�
lJ(ey�
C� Q.N✓t
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10Year ❑
Partial Repair Made
10 Year ❑
New Installation
25 Year ..@'