HomeMy WebLinkAbout1423 Burlingame Avenue - SL - 2015.01.02 - 25 Yearsc",
�BURUNGAME
Address:
Owner:
Contractor Name:
City Staff Name;
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Building Permit 0:
Encroachment Permit #:
Cleanout Location: El Front ❑ Rear
Left
No Repair Needed
❑ Right
Face of Curb
10 Year ❑
New Installation
25 Year 19
Lateral Size:
Test T
Water
❑ Air
Cleanout: ❑ Existing New Installation
Status:
Leh Pass
❑ Fail
rarer Lateral Condition:
Exemption Type:
No Repair Needed
10 Year ❑
�qn[iqj Repair Made
10 Year ❑
New Installation
25 Year 19