HomeMy WebLinkAbout709 Farringdon Lane - SL - 2022.10.21 - 25 YearsCity of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Comments and/ or
Sketch:
Sewer Lateral Condition:
No Repair Needed
Partial Repair Made
New Installation
Exemption Type:
10 Year ❑
10 Year ❑
25 Year
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d
Address:
i(01 c. ` 1
O:Nn
_ Tested Date: 10 LZ-
Owner:
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Building Permit #:
,�
60$)
Contractor No me:
_
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Encroachment Permit#:?wu--
City Staff Name:
C LA
Cleanout Location:
Front
❑ Rear
❑ Left ❑ Right
Face of Curb
Lateral Size:
'L
Test Type: ?< 'Water LJ Air
Cleanout:
�.�
El Existing p1 New Installation
Status: Pass ❑ Fail
Comments and/ or
Sketch:
Sewer Lateral Condition:
No Repair Needed
Partial Repair Made
New Installation
Exemption Type:
10 Year ❑
10 Year ❑
25 Year