HomeMy WebLinkAbout1125 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress-, A�2—
Owner:
Contractor Name:
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City Staff Name: i — � 0
City of Burlingam
Public Works Depart�mej
Buildkg Permit
Encroachment Permit -1-3"
Cleanout Location: L1 Front 0 Rear El Left El Right
Face of Curb
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Lateral Size:--- — ---------- TestType- Water 0 Air
... .......
Clearrout: L1 Existing Pass El Fail
New Installation
Comments and/ or
Sewer Lateral Condition: Exemption Type:
...... . ...No Repair Needed 10 Year F1
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Partial Repair Made 10 Year
New Installation 25 Year