HomeMy WebLinkAbout320 Primrose Road - SL - 2015.01.02 - 10 YearsCITY
City of Burlingame
I
.''URLINGAMit'
Public Works Department
Sewer Lateral T Certificate
Address:
Tested Date: �� - L-1e1
L
Owner:
Building Permit :. "k P
Contractor Name:
df t
Encroachment Permit
City Staff Name.-
A—
Cleanout Location:
El Front 11 Rear
11 Left El Right
Face of Curb
Lateral Size:
Test -Type:11, Cl Air
Cleanout:
El Existing 'El New Installation
Status: Fuss Fail
........... .. -- -
Comments and/ or
Sketch: