HomeMy WebLinkAbout615 Bayswater Avenue - SL - 2024.02.06 - 25 Years City of Burlingame
CITY,
f . Public Works Department
BU U GAME
Sewer Lateral Test Certificate
Tested Date*
Address: 000
Building Permit
Owner: Encroachment Permit
Contractor Name,
City Staff Name:
Right
Front ❑ Rear ❑ Left
Clermont Location: race 1] C v r b
Alt
El
Water
Test Type:
Lateral Size: pass ❑ -Fall,
Cleanout'. ❑ Existing New installation Status:
Comments and/or
Sketch', Sewer Lateral condition: Fxemption-Type:
Na Repair Needed JoYear
Partial Repair Made
New Installation 25 Year