HomeMy WebLinkAbout1410 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress: I l U -,
Owner:
Contractor Name:
City Staff Name: 7C
City of Burlingame
Public Works Department
1*1111-71, M-R,1117111F�
Tested Date:
Building Permit #:
Encroachment Permit #:
Cleanout Location: D Front El Rear CI Left Right
17 Face of Curb
Lateral Size:
Cleanout: U Existing New Installation
Comments and/ or
S tch: (P-,. �7
IWN -
- V, . k I , - r
Test Type: Water 0 Air
Status: Pass I Fail
Sewer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year El
Partial -RIep ir Made --.111101
Year
New Installation
25 Year