HomeMy WebLinkAbout14 Kenmar Way - SL - 2023.03.21 - 10 YearsAddress:
Owner:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: 31')-\j1,'1
Building Permit#:
Contractor Name: t)\Sj,ow✓C S�A�%06 %AXVAU, Nrjii Encroachment Permit#: \PWV9 - 00A1
City Staff Name: T)"\%) CA4V"?dpF
Cleanout Location: Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Sze:
Cleanout: C'S ExiSting ❑ New Installation
Commentsand/ or
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Test Type: N Water ❑ Air
Status: 10 Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year 'Q
Pa rtial Ra air Made
10 Year ❑
New Installation
25 Year 0