HomeMy WebLinkAbout833 Alpine Avenue - SL - 2023.03.16 - 10 Years' aURLJNGAME
Address: `p77?j (tt'Pl WF h"
Owner:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: '611 i� 1 Zi
Building Permit#:
Contractor Name: p\ 6�NtX\F,i (1yt Uy7P t,t�t. t✓L- Encroachment Permit#: Dw23— 0V7S
City Staff Name: C4*aA ot.SA
Cleanout Location: Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Sze:
Cleanout: 1-4: Existing ❑ New Installation
Comments and/or SGhi
Sketch: W/� Ati7Pi+7. W \eA'C'Y—N
Test Type: X Water ❑ Air
Status:
Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
Nom air Needed 10 Year M
Partial lair Made 10Year ❑
New Installation 25 Year 0