HomeMy WebLinkAbout1355 Laguna Avenue - SL - 2022.11.17 - 10 yearsa'
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Address: / 3SS/�i-� err.-' �'_
Owner: Ry a+ -h_. Vci.KGC
Contractor Name: aff iJed eT04-gh:(,cG�Lopl,
City Staff Name: 7 / M 9A--, (. y
Cleanout Location: Front
a
Lateral Size:
Cleanout: T' Existing ❑ New Installation
Comments and/ or , / L _
Sketch: NO w4-4�" /�Sy
❑ Rear
Face of Curb
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: ///l -/LZ
Building Permit #:
Encroachment Permit #: AW ZC?.— 0&3/
X Left
❑ Right
Test Type:
Water
❑
Air
Status:
Pass
❑
Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year ❑