HomeMy WebLinkAbout1462 Burlingame Avenue - SL - 2015.01.02 - 10 YearsAddress: Tested Date.
Owner: Building Permit#:
ContractorName: Encroachment Permit#:
City Staff Name:
Cleanout Locatiow ❑ Front ❑ Rear ❑ Left El Right
Face of Curb
Cleanout: ❑ Existing ❑ New Installation
Test Type:
Water
❑
Air
Status:
V11" Pass
❑
Fail
New Installation
25 Year El
Sewer Lateral Condition:
Exemption Type:
No Fbpair Needed
10 Year El
Partial %pair Made
10 Year
New Installation
25 Year El