HomeMy WebLinkAbout1114 Burlingame Avenue - SL - 2015.01.02 - 25 YearsCITY
BURUhGAIME
Wl(i
Address:
Owner:
Contractor Name;
City Staff Name:
R
(".3ty of Burfin
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WEMIMUMMUR
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Encroachment Permit
_2 1_1
Cleanout Locatiow El Front 0 Rear El Left El Right
Face of Curb
Lateral Size: �o
Cleanout: l Existing ) New Installation
Commenisand{ or
Test,Type: Water 0 Air
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Status: Pass 0 Fail
Sewe, L.1e,al Condition;
Exemption Type:
_N�q_Repal r Needed
33
10 Year
Partial Repair Made
10 Year El
New Installation
25 Year