HomeMy WebLinkAbout1460 Burlingame Avenue - SL - 2015.01.02 - 25 YearsAddress:
Owner:
Contractor Nome:
City Staff Nome:
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Building Permit
Encroachment Permit
Cleanout Location: Front El Rear Ll Left Right
Face of Curb
Lateral Size:
Cleanout: 0 Existing 1� New Installation
Test Type:
Exemption Types
. .........
UUater
10 Year
Aar
Status:P
New Installation25
ass
CI
Fail
Sewer Lateral Condition;
Exemption Types
. .........
No Repair Needed----
10 Year
Partial rMade
10 Year
New Installation25
Year
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