HomeMy WebLinkAbout1116 Burlingame Avenue - SL - 2015.01.02 - 25 Years0000���
Address: AA Tested Date:
Owner: Building Permit
Contractor Narne::: Encroachment Permit 4:
City Staff Name:
Cleanout Location; ❑ Front El Rear 11 Left 0 Right
17 Face of Curb
r,
Cleanout: ❑ Existing New Installation
Comments and/ or
Sketch:
"-,Test Type: Water ❑ Air
Status: Pass ❑ Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ❑
Partial Repair Made
10 Year ❑
New Installation
25 Year