HomeMy WebLinkAbout1209 Burlingame Avenue - SL - 2015.01.02 - 10 YearsI]
Address:
Owner: k
Contractor Name:
City Staff Name:
r%
Public Works Department
Sewer Lateral Test Certificate
i=M11111M
Building PermitV—Av --YQACa
Encroachment Permit
Cleanout Location: Front 11 Rear El Left Right
Face of Csirb
Lateral Size:
Cloanout: El Existing 11 New Installation
Test Type: yya!er, Air
Status: Pass ❑ Fail
Sewer Lateral Conditiom
Exemption Type:
No Repair Needed
10 Year 171
Partial Reppir Made
10 Year
New Installation
25 Year