HomeMy WebLinkAbout1205 Burlingame Avenue - SL - 2015.01.02 - 10 Years%City of
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Address: mm Tested Date:
Owner: Building Permit tk:
Contractor Name: � Encroachment Permit
City Matt Flame: �
Cleanout Location: ❑ Front ❑ near ❑ Left ❑ Right
Face of Curb
Lateral Size: Test Type. , _ _ Water ❑ Air
Cleanout: ❑ Existing ❑ New Installation Status Pass El Fall
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ❑
Partial Repaid' Made
10 Year
New installation
5 Year