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1219 Burlingame Avenue - SL - 2015.01.02 - 25 Years
'T, A Address: Owner: Contractor Name: City Staff Name: Cleanout Locatiow E) Front FW Frd�i Tested Date: Building Permit #: v Encroachment Permit #: iz N� ON= LateralSize: Test Type-, --Water..... Cleanout: Cl Existing New Installation Status: A�L, Pass 0 Fail Sewer Lateral Condition; Exemption Type; Needed .... . .. . .. .......... .. 10 Year Ca Partial Repair Made 10 Year Cl _.Newinstallotion 25 Year