HomeMy WebLinkAbout1457 Bernal Ave - SL - 2020.11.19 - 25 yearsCity of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Address:
Owner:
Controclor Nome:
Cily Stotf Nome:
[45] ?---^.-\Tested Dole: tl b
Building Permil #:b 1-
Encroochment Permil #:
Cleonoul Locolion:E Front { ^..,D Left tl Right
f Curb
Iesl Type:x n AirWoterIoterol Size:
Cleonout:
Commenls ond/ or
Skelch:
{ r*irtinc n New lnstallation Slotus:
-I( ,o,,tr Foit
Sewer Lateral Condition:
No Repoir Needed 10 Year tr
Portiol Repoir Mode 10 Year E
New Instollolion 25Year >(