HomeMy WebLinkAbout1316 Burlingame Avenue - SL - 2015.01.02 - 25 YearsCity 1
auRLINGAME-
Public i�me
Works Department
LateralSewer i
^y9 Tat4A?Rn }
Address. m.: tested Plate:
Owner; Building Permit
Contractor Hartle; �., �$ :.. ''.. Encroachment Permit
City Staff Name:
Cieonout Location: ❑ Front ❑ Rear ❑ Lett ❑ Right
Face of Curb
Lateral Size;
Cleanout: ❑ Existing ew Installation
Comments and/or
.,.Sketch
Test type: 'Mater ❑ Air
Status; Pass ❑ Fall
Sewer Lateral Condition
Exemption Type:
No Repair Heeded
1Q Year ❑
Partial Repair Made
10 Year ❑
New Installation
25 Year