HomeMy WebLinkAbout1323 Burlingame Avenue - SL - 2015.01.02 - 25 YearsCI
13U,RYNGAME
Address:
Owner:
Contractor Name: J
City Staff Name:
City of Burlingame
Public Works Department
Sewer Lateral Test Cercate
Building Permit #: V'
a `A -
Encroachment Permit #:
Cleanout Location: ❑ Front ❑ Rear
❑ Left
❑
Right
race of Curb.
Lateral Size:
Tes# Type:
Water
❑' Air
Cleanout: ❑ Existing Newinstallation
- -Status:
Pass
❑ Fail
COMMents and/ or
Sketch: