HomeMy WebLinkAbout515 Howard Avenue - SL - 2022.11.10 - 10 YearsE a
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BURLJNGAM--!E
Address: J1S 1-tUt"na\i MC-,
Owner.
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: 1. I I 10 1 2'L
Building Permit #:
Contractor Name: CAL %& QtmY'\id t r�>L t.,LEncroachment Permit #: Pw ZZ' bcwt
City Staff Name: T>A n()
Cleanout Location: k] Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Size:
Cleanout: Er Existing ❑ New Installation
Comments and/ or
Sketch: \4A-'0�=l' i�'hi (1 s�/s7 i`� �nlA'TG/Ltom •
Test Type: 17 Water ❑ Air
Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year ❑