HomeMy WebLinkAbout2931 Frontera Way - SL - 2023.02.07 - 10 YearsBURLJNGAJAE
Address: 2 ci 3 I rf2,t-si i 4-A w
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: 7 I I I Zj
Owner: 00 VAL6XIC LL;G Tj- [_1a VA L.CRIF L%�I2J ST Building Permit#:
Contractor Name: T'1) C 6 S A (LE 01) pJ c;T . Encroachment Permit #:
City Staff Name: UD {W InnA Lo 'iAu LC/kL3
PW 2)-oogy
Cleanout Location: q Front ❑ Rear ❑ Left ❑ Right
Face of Curb
� 11
Lateral Size:
Cleanout: , Existing ❑ New Installation
Comments and/ or
Sketch- PA,
Test
Water ❑
Status: 9 Pass ❑ Fail
Sewer lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year ❑