HomeMy WebLinkAbout704 Winchester Drive - SL - 2023.05.11 - 10 Yearsc�xy
� BURLINGAME
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address: —j j.;i!4 W1 N LykP 511 Ri b& Tested Date: S 1 I I I Z 3
Owner 1AAA.,-I. )\pdJ Llk/1 J1 W'F 1-stGG Building Permit#:
Contractor Name: 121S(A)I A�'% 2LAA hEncroachment Permit#: Q\.r z%" pl HH
City Staff Name: 'IDM t7
Cleanout Location: ❑ Front ❑ Rear Left ❑ Right
Face of Curb
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Lateral Size: 11 _ _ _ _ Test Type: b?I Water ❑ Air
Cleanout: ❑ Existing IX New Installation Status: � Pass El—Fall,
Comments and/ or
Sketch:_nn7�i4J .mil/ �l A{n%ice
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year
Partial Repair Made 10 Year ❑
New Installation 25 Year ❑