HomeMy WebLinkAbout1325 Cabrillo Avenue - SL - 2009.08.20 - 25 YearsCity of Burlingame
Public Works Department
Sewer Latera! Test Certificate
Address:
Owner:
Controclor Nome:
Cily Sloff Nome:
l3zb Cotr'.\\A"-Tesled Dole:
Building Permil #:
Encroochmenl Permil #:
?,-Zo-Zqo1
- Oo-I
Cleonoul Iocolion D Front }(*"r.D Left tr Right
Foce
[oterol Size:
Cleonoul:
Commenls ond/ or
Skelch:
tr Existing D New tnstallation
Test Type:
Stotus:
x trAkWoter
k ro,,Foil
No Repoir Needed 10 Year tr
10 Year
New lnslollolion 25 Year
l'\ec-+o< Ll,"^c^,^^,\ Pz
Sewer Lateral Condition:
Porliol Repoir Mode