HomeMy WebLinkAbout1433 Burlingame Avenue - SL - 2015.01.02 - 25 YearsBURUNGAME
Address:
Owner:
Contractor Name:
City Staff Name:
Public Works Departmen
Sewer Lateral Test Certificatj
Building PermiM
Encroachment Permit it:
Cleanout Location: [] Front 11 Rear El Left Right
F a c e o f C u r b
LateralSize: -(41-
Cleanout: 0 Existing * New Installation
--Test pe: Water 1 1 Air
Status: Pass Fall
Sewer Lateral Condition;
Exemption Type:
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No Repair Needed
10 Year F1
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Partial Repair Made
10, Year
New Installation
25 Year