HomeMy WebLinkAbout744 Acacia Drive - SL - 2023.03.09 - 10 Years�c.
BURLINGAME
Address: 14 LI ACA (aj & ()K
Owner: f=�S L,� \-Au f—Q GE/2tSidPw1 (Z
Contractor Name: J- 'D CF.SA4—C C.cd.+5'2U<1T'Gj
City Staff Name: —36 �-( tJ I\ AAI..t?r -TAU LG,& L-6
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date:
Building Permit#:
Encroachment Permit#: f'IP1.1Z3—()() �
Cleanout Location: Front ❑ Rear ❑ Left ❑ Right
Face of Curb
it
Lateral Size: Test Type: bL Water ❑ Air
Cleanout: Existing ❑ New Installation Status: bg� Pass ❑ Fail
Comments and/or 1" tA.-M.
Sketch: Vv
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Pa air Made 10 Year ❑
New Installation 25 Year 0