HomeMy WebLinkAbout1700 Sanchez Ave - SL - 2025.01.14 - 10 yearsCity of Burlingame
Public Works Department
Sewer Lateral Test Certificate
llOO S"..^n d^Address:
Owner:
Conlroctor Nome:
City Sloff Nome:
Tesled Dole:
Building Permit
Encroochmenl Permit #:
-MrLotla\'..o-r.
Cleqnoul Locolion:U Front tr Rear n Left )( nigr',,
of Curb
[olerol Size:
Cleonoul:
Commenls ond/ or
Sketch:
Existing tr New lnstallationx'tr
tr Air
tr FoitSlolus:
Sewer Lateral Condition:
No Needed 10 Year
Poss
x
Portiol Repoir Mode 10Year tr
New lnstollotion 25 Year tr