HomeMy WebLinkAbout1123 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress:
Owner:
Contractor Name:C', �11-vk,% R:x Icl
City Staff Name:
Public Works Department
Sewer Lateral Test Certificate
Building Permit #:
Encroachment Permit #:
Cleanout Location: ❑ Front 0 Rear 0 Left 0 Right
Fo c e of C u r b
Lateral Size:
Cleanovt: El Existing New Installation
Comments and/ or
-S,ketch:
C) K,
Test Type-, waterI I
Status: Pass El Fail
Sewer Lateral Conditiorr--
Exemption Type:
NoRepairNeeded
.10 ,Year ❑
Partial Repair Made
10 Year El
... .. .. ... ... ... . ........
New Installation
25 Year