HomeMy WebLinkAbout1727 Sequoia Avenue - SL - 2024.04.19 - 25 YearsCity of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address:
Owner:
Controclor Nome:
Cily Sloff Nome:
11,Tesled Dote:
Building Permil #:
Encroochmenl Permil #:
tr Left
t
Cleonoul [ocotion:\f,"nt n Rear tr Right
tolerol Size:
Cleonoul:
Commenls ond/ or
Skelch:
}(ru"* tnstallation
Tesl Type:
Slolus:
Woter tr Air
\p4 ross tr Foit
Exemption Type:
10 Year D
tr Existing
Sewer Lateral Condition:
No Needed
Porliol Repoir Mode
New lnstollotion
lOYear tr
25 Year ><