HomeMy WebLinkAbout1452 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress:
Owner:
Contractor Name-, GD,
V
City Staff Name:a
— —(AL . - —
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Building Permit 0
Encroachment Permit
Cleanout Location: El Front 0 Rear 0 Left El Right
Face of Curb
Lateral Size: Test Type: Water El Air
Status: v Pass El Fail
I
Cleanout.- El Existing ?( New Installation
Sewer Lateral Condition.,
Exemption Type:
. .. . . ......... .. ... ........ ... .
Np_Rep0lr Needed
10 Year El
Partial
. ... ... Made
10 Year El
New Installation
25 Year