HomeMy WebLinkAbout1509 Easton Drive - SL - 2023.04.11 - 25 YearsCity of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address: E/ —1 Tested Date:
Owner: CoI - Building Permit#:
Contractor Name: `/�C�111��.(,,�.) �1 Il�'(�jj�{�r]�-� Enc roac hment Perm it #:
City Gaff Name: ✓ '"t I W� ��""��"
%'9 60:11
Cleanout Location: XN Front ❑ Rear ❑ Left ❑ Right
Lateral Sze:
Cleanout: ❑ Existing
Commentsand/ or
Sketch:
1-1 Test Type: 1116 Ater ❑ Air
New Installation Status: I Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Pe air Needed
10 Year ❑
Partial Fiaair Made
10 Year ❑
New Installation
25 Year