HomeMy WebLinkAbout1344 Burlingame Avenue - SL - 2015.01.02 - 25 YearsC"ITY,
BUIRURGAIM
Address:
Owner:
Contractor Name:
City Staff Name:
City of Burlingame
Tested Date:
Building Permit #:
Encroachment Permit It.
Cleanout Location: ❑ Front El Rear El Left El Right
IFete of curb
Lateral Size:Type:Water El Air
Cleanout; El Existing New Installation Status: Pass ❑ Fail
Comments and/ or
Sketch:
Sewer Lateral Condition:
Exemption Type:
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No Repair Needed
10 Year El
Partial Repair Made
10 Year ❑
New l ristalla,tion,
25 Year Y,