HomeMy WebLinkAbout720 Concord Way - SL - 2023.03.06 - 25 YearsAddress: -1,20 CCynCJtA
Owner: OAo(`1 MAu C, Z �
Contractor Name: 1L -t 6 Y Eb. t h [ C ��\h
City Staff Name: I X We— GdN`ZNl �S
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: 0,310C f '2 3
Building Permit #: P2 7.— 062 y
Encroachment Permit#: i , LI- OD CS
Cleanout Location: ,,,Front
❑ Rear
❑
Left
❑
Right
New Installation
Face of Curb
Lateral Size: I-1 XI
Cleanout: ❑ Existing .� New Installation
Comments and/ or
Sketch:
Test Type: ,i17 Water ❑ Air
Status: „c Pass ❑ Fail
Sewer Lateral Condition:
Exemption Tybe:
No Repair Needed
10 Year ❑
Partial Repair Made
10 Year ❑
New Installation
25 Year J'