HomeMy WebLinkAbout1318 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress:
Owner:
Contractor dame: Mw s
City Staff Name:
City of •.
Public Works D-•
Sewer Lateral Test Certificate
Building Permit#:
Encroachment Permit #:
Cleanout Location: ❑ Front ❑ Rear ❑ Left ❑ Right
Face of Curb
Lateral Sze:
Cleanout' ❑ Existing ko New Installation
Cornmentsand/ or
etch:
N
-7
Test Tye: Water ❑ Air
Status: Pass ❑ Fail
Sewer Lateral Condition-
Exemption Type:
No kepa ir Needed
10 Year.- ❑
Partial Re air Made
1iiYer ❑
New Installation
25 Year