HomeMy WebLinkAbout1301 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress: i
K
Owner:
Contractor Name:
City Staff Name:
City of Burlingame
Public Works Departmem
Sewer Lateral Test Certificate
Building Permit #-
Encroachment Permlt#-,
� 2
Cleanout Location; E] Front 11 Rear ❑ Left 11 Right
Face of Curb
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Lateral Size: TestType: Air
Cleanout: ❑ Existing New Installation Status Pass
Fail
Comments and/ or
Sketch:
Sewer Lateral Condition:
No Repair Needed
10 Year 11
Partial Repair Made
10 Year El
New Installation
25 Year U