HomeMy WebLinkAbout1616 Granada Drive - SL - 2022.12.09 - 25 Years' �BURIJNGAME
Address: I Imo, r�• , , ^ r ( A
Owner: ., •,f�,1 il� v�J T✓ I�Pn url
Contractor Name:
City Staff Name:
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City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
l✓ Tested Date: 11 1 u .f i
Building Permit #: 12 7 - J 11ol
Encroachment Permit A
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Cleanout Location:
❑ Front
,0 Rear
❑
Left
❑
Right
Face of Curb
Lateral Size:
Cleanout: ❑ Existing ,❑ Newlnstaliation
Comments and/ or
Sketch:
Test Type: . Water ❑ Air
Status: R, Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year ❑
Partial Repair Made 10 Year G7
New Installation 25 Year „�'