HomeMy WebLinkAbout737 Lexington Way - SL - 2023.08.08 - 10 YearsB�R4N�PhlE
Address: 73-7 LaXi t.--cr -1 w"
Owner (,/tAD%, iV- A(L Hsj-- fiAOth
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: i- f T 17-3.
Building Permit #:
Contractor Name: VzkVV--(L f rpt. - Encroachment Permit #: f w iia - D 3'—t 6
City Staff Name: 1)Kq\Ay CA47m- 1}
Cleanout Location: Front ❑ Rear ❑ Lek ❑ Right
Face of C a r b
J
Lateral Size:
Cleanout 14 Existing ❑ New Installation
Comments and/ or
Sketch: _`•r��r 11 Yl`�edSSSr+'.^i _
Test Type: 19 Water ❑ Air
Status: Rr Pass ❑ Fail
_ Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ,�r
Partial Repair Made
10 Yea r 11New
Installation
25 Year ❑