HomeMy WebLinkAbout801 Burilngame Avenue - SL - 2023.01.26 - 10 YearsAddress: 6C)l 6jQ(,I w�- Mt AyE
Owner: VWL IN G )AME -5 5 PpC-f-s aj
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: i /2(a /Z
Building Permit #:
Contractor Name: PIP6 yjUwKS PLb W>1rJ() Encroachment Permit#: PU ZZ—U�22
City Staff Name: 'DA V ID CAQ+)e,�J A
Cleanout Location: ❑ Front ❑ Rear i Left ❑ Right
Face at Curb
Lateral Size:
Cleanout: M Existing ❑ New Installation
Comments and/ or
Sketch: w/t • +N 'CS%S �h�S�✓i7. LrI� i%
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Test Type: W Water ❑ Air
Status: gr1 Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year 11