HomeMy WebLinkAbout1300 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress;
Owner:
Contractor Name:
City Staff Name:
Building Permit #:
Encroachment Permit #:
Cleanout Locatiow Cl Front El Rear 0 Left El Right
race of Curb
I I
Cleanout: 0 Existing 1 ?0 New installation
Comments and/ or
S,�etch:
Test Type: Water Cl 'Air —
Status: pass El Fail
Sewer Lateral Condition;
Exemption Type:
Ivo Repair..Needed
10 Year
..........
Partial Repair Made
10 Year
New Installation
25 Year