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Home My WebLink About1214 Burlingame Avenue - SL - 2015.01.02 - 10 YearsCITY � City ofBurlingame SURUNGAME Public _ Sewer Lateral Test Certificate Address: � � Tested )ate: Owner Rtaitdina Permit #. �. _.. Contractor Name: Encroachment Permit #: City Staff Name; Cleanoul Location: ❑ Front ❑ Real' ❑ Left ❑ Right 'Face of Curb tt Lateral Size; _.., Test Type: Water .. ❑......Air Cleanout ❑ Existing New Installation Status: Pass ❑ Fall Comments and/ or Sketch: 4. Sewer Lateral condition: Exemption Tyne: .. _..... __ i Year No Repair Needed ts er ❑ _... _ _.._-------- _......J Partial Repair Made der........ r New Installation 25 Year ❑