HomeMy WebLinkAbout752 Laurel Avenue - SL - 2023.07.06 - 10 YearsAddress: 7 t 2 Lft\,\
Owner.
Contractor Name: "h\ Si nL4 rA V Orin Y+{3L Jb \r' lI
City Staff Name: vKy\,7 rAXI-'OPA
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: 1 % b' z_3
Building Permit #:
Encroachment Permit If: FW 13 - 1) 1-1 K
Cleanout Location: ❑ Front ❑ Rear Left ❑ Right
Face of Curb
r 1'
Lateral Size:
Cleanout: 'M Existing ❑ New Installation
Comments and/ or
Sketch: \�/TF✓�'C�'.Gl 1w$�/✓_.�J� _- _— _
_Test Type71 Water ❑ Air
Status: Pass _ ❑ Fail
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Yeary
Partial Repair Made ._ 10 Year ❑
New Installation 25 Year ❑