HomeMy WebLinkAbout1825 Sebastian Drive - SL - 2022.10.19 (25)Lateral Sze: Testi e:®Aater 13Air
Cleanout: ❑ Existing New Installation Status: v Pass ❑ Fail
Comments and/ or
Sketch:
Sewer Lateral Condition: Exemption Type:
No Ra air Needed 10 Year ❑
Partial Flaair Made 10 Year ❑
New Installation 25 Year
City of Burlingame
Z13VjIU'
Public Works Department
Sewer Lateral Test Certificate
Address:
Tested Date: 0
Owner:
�� 22
Building Pe rm it#:
Contractor Name:
�r-iC. J /�C Encroachment Permit#:
City Staff Name:
IF
�/�N
Cleanout Location:
Front ❑ Rear ❑ Left ❑ Right
Lateral Sze: Testi e:®Aater 13Air
Cleanout: ❑ Existing New Installation Status: v Pass ❑ Fail
Comments and/ or
Sketch:
Sewer Lateral Condition: Exemption Type:
No Ra air Needed 10 Year ❑
Partial Flaair Made 10 Year ❑
New Installation 25 Year