HomeMy WebLinkAbout1237 Burlingame Avenue - SL - 2015.01.02 - 10 Yearsattr City
d—URUNGA
Public Works Department
h Sewer Lateral Tet Certificate
Address: .D Tested Date:
Owner: Building Permit #:
Contractor Name: Encroachment Permit
City Staff Name: _ �...
Cleanout Location: CI Front ® Rear El Left Right
Face of Curb
11
Lateral Size:
• rtInstallation
Comments and/ or
Sketch:
Test Type: Water l Air
Status Mass Fail
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Sewer Lateral Condition:
Exemption Type.
No Repair Needed
„_.
10 Year
Partial Repair Made
10 Year
New Installation
25 Year El_.- --�