HomeMy WebLinkAbout1820 Capistrano Way - SL - 2023.09.07 - 25 YearsAddress:
Owner: I{�� f
Contractor Name: D kP1 A`� AIv-,1-lam
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date:
Building Permit#:
Encroachment Permit#:
Cleanout location: Front ❑ Rear ❑ Left Right
Face of Curb
t�
lateral Sze: I
Cleanout: ❑ Existing 10, Newlnstallation
Commentsand/ or
Scetch:
Test
Water ❑
Status: A Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Papa ir Needed
10 Year
❑
Partial Re air Made
10 Year
❑
New Installation
25 Year
0