HomeMy WebLinkAbout1229 Burlingame Avenue - SL - 2015.01.02 - 25 Years,CITY
City of Burlingame
U RLINGAM E
Public H:
Works
Sever Lateral Test Certificate
Address: LZZA Tested gate: mow,
Owner: Building Permit #
Contractor Name: � Encroachment Permit #; t
City Matt Name � pk
Cleanout Localion: Front Rear 0 Left ®I Right
Face o Curb
Lateral Size:
a
Cleanout: ❑ Existing New Installation
Test Type: Water ll Air
Status: Pass Cl Fail
r
Sewer Lateral Condition:
Tarfial ReDairad
iNEEM-al