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Home My WebLink About2205 Ray Drive - SL - 2022.12.20 - 25 Years�r� crrz o BURLINGAME Address: ,2 %.> ,-i �t•yi Owner: �n�wt "? S 4. P 11 C �• i J Contractor Name: ,•` ( �AU N,.t� tvst„ H City Staff Name: %vim i_; J, -1 tiLt5 City of Burlingame Public Works Department Sewer Lateral Test Certificate Tested Date: \ 1 1 2 o � '1 %'- Building Permit #: ? 7_ Z- - i,' %�I Encroachment Permit #: Cleanout Location: yFront ❑ Rear ❑ Left ❑ Right Face or Curb Lateral Size: :.i Cleanout: ❑ Existing ❑ New Installation Comments and/ or Sketch: Test Type: =❑ Water ❑ Air Status: [a Sewer Lateral Condition: Exemption Type: No Repair Needed 10 Year ❑ Partial Repair Made 10 Year ❑ New Installation 25 Year .©