HomeMy WebLinkAbout1785 Hunt Drive - SL - 2023.02.09 - 10 Years6
Address: ! y (%
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Owner: PuPi CI X I A
Contractor Name: ATLAS PLLwgIN(I AF/n (?zUVr-yr—
City Staff Name: `y)i'h't MA'L,,)A --�QU �C✓a'lU
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date:
Building Permit #:
Encroachment Permit #:
2 /ci 12 3
PW'Z3-ob-LE�
Cleanout Location: tom. -Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Size
Cleanout: ;W Existing ❑ Newlnstallation
Comments and/ or YYY U��` N 1 C� -ice
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Sketch: 1' t�%-'�5EID
Test Type: 0 Water ❑ Air
Status: tK Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year
Partial Repair Made
10 Year ❑
New Installation
25 Year ❑