HomeMy WebLinkAbout133 Pepper Avenue - SL - 2023.05.26 - 25 YearsAddress:
Owner: A
Contractor Name:
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date:
Building Permit #:
�1
Encroachment Permit #: 1�
Cleanout Location:
Front ❑ Rear
❑ Left
❑
Right
Face of Corb
y
Lateral Size:
Test Type:
LI�/Water
❑ Air
"W
Cleanout
Existing ❑ 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