HomeMy WebLinkAbout1528 Columbus Avenue - SL - 2024.04.11 - 10 YearsCity of Burlingame
Public Works Department
I
Sewer Lateral Test
Tested Dole:
Bullding Permil #:
Encroochmenl Permil #:
Address:
Owner:
Controctor Nome:
Cily Sloff Nome:M. C-.ro\-€f
Cleonoul Locolion:E Front Rear tr Left D Right
Foce t Curb
Lolerol Size:
Cleonout:
Commenls ond/ or
Skelch:
Tesl x n AirWoler
?f Existing D New tnstalation Poss tr Foir
Sewer Lateral Condition:
No
Porliol
1o Year )E-
10 YearMode
New lnslollolion 25 Year tr
Stolql:N