HomeMy WebLinkAbout1426 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress: 142-k, –k -"—. 15 .11�
Owner:
Contractor Name:
City Staff Name:
a
Public Works Departmen
Sewer Lateral Test Certificaiiti
Tested Date:W,
Building Permit
Encroachment Permit
Cleanout Location: El Front ❑ Rear
El Left
No Repair Needed
❑ Right
race e o I Curb
10 Year
New Installation
25 Year
Lateral Size: ------
_._Test Type:
El Air
Cleanout: El Existing New Installation
Status:
Pass
D Fall
Comments and/ or
Sketch:
r)
Sewer Lateral Condition-
Exemption Type:
No Repair Needed
10 Year ❑
Partial Re pair Made
10 Year
New Installation
25 Year