HomeMy WebLinkAbout737 Neuchatel Avenue - SL - 2016.02.03 - 25 YearsCity of Burlingame
Public Works Department
Sewer Latera! Test Gertificate
Address:
Owner:
Controclor Nome:
Cily Sloff Nome:
l3l N'o..-t.\r *-\ Aw-
M. C--.,.2o\\-$.
Tesled Dole:
Building Permil #:
Encroochment Permil #:
zl s lra?ffi
Cleonoul Iocollon E Front tr Left D RiehtD Rear
Lolerol Size:
Cleonoul:
Commenls ond/ oI
Skelch:
tr Existing tr New tnstallation
Tesl Type:h( wor",tr Air
Slolus:}(ro,,tr Foil
Sewer [ate]al Condition:
lOYear E
Porliol Repoir Mode 10 Year
New lnslollolion 25 Year
D
No Repoir Needed