HomeMy WebLinkAbout164 Pepper Avenue - SL - 2023.09.01 - 25 Yearsn,�
Address: Gbh TLO&✓ laNvvsur
Owner: Fcr tr+(� W001:5
Contractor Name: ori�Lf' bv�
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: Dat I o%I Z
Building Permit#�2;;\\ ��. 7� 1`���-CXl3%
Encroachment Permit #:'�.
❑ Rear
❑ Left
❑
Right
Cleanout Location: .Front
Face of Curb
`\t
Lateral Size: 3 �r� 4 �✓ ��
Test Type: _
SCJ Water
❑ Air
__.
Cleanout: ❑ Existing ,,Pr New Installation
_ Status:
Pass
❑ Fall
Comments and/ or
Sketch:
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year ❑
Partial Repair Made 10 Year ❑
New Installation 25 Year ��Y