HomeMy WebLinkAbout845 Cowan Road - SL - 2023.02.14 - 25 YearsAddress:2AN5 -I) W' r, � A&
Owner: �S�,a ��G' �-t( C6 UdvlN11
Contractor -Name: SQ.Wyf qn,A- l 5w,.ttlY Mels
City Staff Name: J(4wL Gtr
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: O'l1 1y I Z-�
Building Permit#: �ZS - 0005
Encroachment Permit#: ?U 23 - oa3'$
Cleanout Location: ❑ Front
AT Rear
❑
Left
❑
Right
Face of Curb
Lateral Sze:
Lktl
Cleanout: ❑ existing
Comments and/ or
Sketch:
8' New Installation
Test Type: ❑ Water ❑ Air
❑ Pass ❑
Sewer Lateral Condition: Exemption Type:
No Pa air Needed 10 Year ❑
Partial Pa air Made 10 Year ❑
New Installation 25 Year M