HomeMy WebLinkAbout1616 Easton Drive - SL - 2023.03.21 - 10 YearsAddress: `i(;r �n3yi ,
Owner: W Ut.4Pi Mh jS!}F�V luYct� �Y WIn CWS 11iyL
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: '>)1,11 1-3
Building Permit#:
Contractor Name: ,n f&,4tj2. L:W✓Sc�n.,wr�oJ Encroachment Permit#: I7vd 1-1-01 u-7
City Staff Name: ryvy\c7 epc{t Oh
Cleanout Location:
0
Front
❑ Rear
❑
Left
❑
Right
Face of Curb
Lateral Size: L,
Cleanout: H Existing ❑ New Installation
Comments and/ or
8(etch: {,.ffttY,d IW7!i P/c���/7i tW V rATtb-ti L I)55
Test Type: P9 Water ❑ Air
1' Pass ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Fbair Needed 10 Year br
Partials air Made 10 Year ❑
New Installation 25 Year 0