HomeMy WebLinkAbout234 Park Road - SL - 2015.01.02 - 10 YearsCITY,,
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City of Burlingame
Public Works Department
39m=
Owner: Building Permit #:
Encroachment Permit
Contractor Name:
City Staff Nome:
Cleanout Location: El Front E] Rear El Left El Right
Face of Curb
Lateral Size: Test Type: Air
Cleanout: E] Existing El New installation Status: Pass D fail
Sewer Lateral Condittow
Exemption Type:
IVa Repair Needed
Year ❑
,
_10
Partial Repair Made
10 Year
New Installation
5 Year------