HomeMy WebLinkAbout1540 Alturas Drive - SL - 2023.06.09 - 10 yearsAddress: )5q4 /al:Luyg) Dv-IYC
Owner: V, (A. ra CaS
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Contractor Name: Vf Lt.fA QIdw(ac�ti,y C f)itf".� -
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: Orn/O9/ Z.—
Building Permit#: P 25 - edgy
Encroachment Permit #:
Cleanout Location: ❑ Front )21 Rear ❑ Left ❑ Right
Face of Curb
Lateral Size: 'y ' Test Type: Er Water ❑ Air
Cleanout: ❑ Existing New Installation
16)
Comments and/ or
Sketch:
Status: 71pl- Pass
Sewer Lateral Condition:
No Repair Needed
Partial Repair Made
New Installation
❑ Fail
Exemption Type:
10 Year ❑
10 Year
25 Year ❑