HomeMy WebLinkAbout1132 Paloma Avenue - SL - 2023.02.14 - 10 YearsB�1RtJf�C,,AME
Address: Z ah Lo
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: Z I t F I.2
Owner: r- H Ar-J%i Ti b T - O jo Building Permit #:
Contractor Name: ID CE S Ar (,c Encroachment Permit #: ? 6) 1--7 - 60 4 Z
City Staff Name: �v V �Atj>A-TAUL G-A,,o
Cleanout Location: ❑ Front X Rear ❑ Left ❑ Right
Face of Curb
Lateral Size: 44
Cleanout: Q Existing ❑ New Installation
Comments or ���yf T -f •� 11A S��
Sketch -
Test
Test Type: 01( Water ❑ Air
Status: Pass ❑ Foil
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year ❑