HomeMy WebLinkAbout1117 Summer Avenue - SL - 2023.09.12 - 25 Yearsa
Address: 11.17 GLuov ri�'A
Owner: {%LL
Contractor Nam e: RL
i
City Staff Name: yf/
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: �� �2•Ij
Building Permit#:
Encroachment Permit#:
Cleanout location:
❑
Front
A Rear
�L
Left
❑
Right
Partial Repair Made
10 Year ❑
Face of Curb
New Installation
25 Year 0
Lateral Size:
Cleanout: X Existing �X New Installation
Comments and/ or
Sketch:
Test Type: ,� Water ❑ Air
Status: R Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ❑
Partial Repair Made
10 Year ❑
New Installation
25 Year 0