HomeMy WebLinkAbout1208 Burlingame Avenue - SL - 2015.01.02 - 10 YearsAddress:
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]MOM
Contractor Name:
City Staff Name:
Tested Date:
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Building Per mit#:
Encroachment Permit #,.
Cleanout Location: El Front 11 Rear D Left El Right
Face of Curb
Lateral Size: Test Type: Water ❑ Air
Cleanout: r-1 Existing D New Installation Status: Pass ❑ Fall
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ❑
Partial Repair Made
10 Year
New Installation
25 Year