HomeMy WebLinkAbout2529 Hayward Drive - SL - 2023.02.14 - 10 YearseulxuNcaME
Address: y)2 I 14AY WAiLq P4
Owner: A\jA Kb FF r_"jS-ri-[ TIL PboCJ4ILifP� jn-uS 1
Contractor Name: r 1yol2 E" 60jec-91-Al
City Staff Name: -_�bµk, c,A A'LeA-1Ati%E-AL0
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: -LV-(i
Building Permit#:
Encroachment Permit#: PW -13 -6031
Cleanout Location:,. Front ❑ Rear ❑ Left ❑ Right
Face of Curb
L
Late ral Sitze: � Test Type: � Water ❑ Air
Cleanout: 45—Existing ❑ New Installation
Comments and/ or
Sketch:
Status V Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
NoPaair Needed 10 Year
Partial Pa air Made 10 Year ❑
New installation 25 Year ❑