HomeMy WebLinkAbout1793 Sequoia Avenue - SL - 2023.07.06 - 25 YearsAddress: L {. 0k1:?> S C --C % ) e) 1 A A46"y C.
Owner: i/�-V t �,tctton, i2vt+ ka of _
Contractor Name: '. "
City Staff Name: �q\{(� tn'LwC tS
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: a -i I u(pt 23
Building Permit #: N 1,5."c (sem
Encroachment Permit #: N./A
Cleanout Location: Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Size:
Cleanout: ❑ Existing
Comments and/ or
Sketch:
Test Type: Er Water
New Installation Status: Pass
Sewer Lateral Condition:
No Repair Needed
Partial Repair Made
New Installation
❑ Air
❑ Fail
Exemption Type:
10 Year ❑
10 Year ❑
25 Year .12r