HomeMy WebLinkAbout1319 Burlingame Avenue - SL - 2015.01.02 - 25 YearsSURUMAME
Address: ale Z-1� Tested Date:
Owner: Building Ptermitt
Encroachment Permit#:
ContractorName: 'X,
City Staff Name:
Cleanout Location: M Front El Rear El Left El Right
Face of G u r b
Late ra I Sze: Type: ([�Y) Water El Air
_
Cleanout; 0 Existing New Installation Status: Pass 0 Fa i I
Sewer Lateral Condition:
Exemption Type:
Neededlo
Year E3
-
Partial Palpair Made
10 Year ❑
New Installation
25 Year