HomeMy WebLinkAbout1110 Burlingame Avenue - SL - 2015.01.02 - 25 YearsCITY
BURU.NGAME
Address:
Owner:
Contractor Name:
City Staff Name:
Public Works Department
Sewer Lateral Test Certificate
Encroachment Permit #:
---2
Cleanout Location: El Front El Rear 0 Left El Right
Face of Curb
LaterolSize: Test Type: Water ❑ Air
Cleanout: D Existing 1 0( New Installation
Status:
Sewer Lateral Condition;
Exemption Type:
N9, Repair Needed
10 Year El
Partial Repair Made
10 Year ❑
New Installation
25 Year