HomeMy WebLinkAbout1535 Alturas Drive - SL - 2023.07.25 - 10 Years9
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address:
Tested Date: 7
Owner:
e, f)"
Building Permit #:
Contractor Nome:
X,)C-AA-
Encroachment Permit #: 1pv`Ll - 0 *�Z) el
City Staff Nome:
172!4 \ S?
CAV41AD 0 rs n
Cleanout Location:
19 Front ❑ Rear
El Left ❑ Right
Face o f Curb
Lateral Size: 1 Test Type:_ Water ❑ Air
Cleanout: Existing ❑ New Installation Status: Pass— ❑ Fall
Comments and/ or
Sketch:
Sewer Lateral Condition: Exemption Type:
NoRep Ir Needed 10 Year V9
----Pgrkial_Repair _Made --- 10Ye.ar ❑
- -- - - - -New Installation — 25 Year ❑