HomeMy WebLinkAbout14 Peninsula Avenue - SL - 2022.07.18 - 25 Years I- CITY 1, %CIty of Burlingame
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Public Works Department
Sewer Lateral Test Pertificate
7
Address: Tested Date: j-7 q2ZI
Owner: Building Permit
Contractor Name: Encroachment Permit#:
City Staff Name:
Clermout Location: ant 11 Rear El Left El Right
Face of Curb
Lateral Size: Test Type: ID—voter El Air
Cleanout: El Existing 'I<New Installation Status: 4ass E] Fail
Comments and/or
Sketch:
Sewer Lateral Condition: Exemption Type:
No Repair Needed 10 Year ❑
Partial Repair Made 10 Year ❑
New Installation 25 Year