HomeMy WebLinkAbout1325 Burlingame Avenue - SL - 2015.01.02 - 25 YearsCITY
Address:
Owner:
Contractor Name:
City Staff Name:
Public Works De1
Sewer Lateral Test Certificate
Building Permit
Encroachment Permit #:
Cleanout Location: El Front El Rear El Left ❑ Right
Face of Curb
Lateral Size:
Cleanout-, El Existing New Installation
Comments and/ or
Sketch:
o
Test Type -1:1 Water--,
Status:
Pass 171 Foil
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year
Partial Repair Made
10 Year Cl
New tnstailation5
Year