HomeMy WebLinkAbout1348 Burlingame Avenue - SL - 2015.01.02 - 25 YearsCity of Burlingame
Public Works Department
Sewer Lateral Tett Certificate
Address: Tested Date:
Owner: Building Permit #:
Contractor Name:
Encroachment Permit #:
City Staff Name:
..... .... . ..
0eanout Location: Front Rear Left Right
17 Face of Curb
Lateral Size: Test_jype-. Water Air
Cleonout: El Existing New Installation Status: Pass Fail
Comments and/ or
S4,e,ich:
Sewer Lateral Condition;
gvvn�-,_.
10 Year 171
10 Year El
25 Year