HomeMy WebLinkAbout723 Linden Avenue - SL - 2023.05.30 - 10 YearsAddress: r�DC 3/e�.&� b E jLj
Owner.t-C�}y�T�yt/F
Contractor Name: pISGOL U i
City Staff Name:y-
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date:
Building Permit #:
Encroachment Permit #: FIL)Z J 'Q 2 D X
Cleanout Location: Front ❑ Rear Left ❑ Right
Face of Carb
L/
Lateral Size:
Cleanout: Existing ❑ Newinstallation
Comments and/orSketch-
a-7
Test Type_ _—ZK- Wafer_
Status: _ __X_ Pass
❑ Air
❑ Fail
Sewer Lateral Condition:
Exemption Type:
_ No. Repair Needed
10 Year
Partial Repair Made
10 Year ❑
New Installation
25 Year ❑