HomeMy WebLinkAbout1435 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress:
Owner-,
Contractor Name:
City Staff Name:
City of Burlingam
Public Works Departmen
Sewer Lateral Test Certificati
Building Permit #: n"op,
Encroachment Permit
Cleanout locution: El Front 11 Rear El Left El Right
Force of Curb
Lateral Size: ------ —(c, Test Type:_ Water Air
Cleanout : El Existing New installation Status: Pass Fail
mer Lateral Condition:
Exemption Type:
No - Repair -Needed
lfiYear -
Partial Repair Made
10 Year
New Installation
25 Year