HomeMy WebLinkAbout2716 Martinez Drive - SL - 2020.10.20 - 25 YearsAddress: Z_M0,
Owner:
Contractor Name: Vt 45- C', �c "Jet
City Staff Name: C Cvi C,
City of Burlingame
Public Works Department
Sewer Lateral Test Certificate
Tested Date: C) 0
10-0
Building Permit
Encroachment Permit
Cleanoul Location: ❑ Front El Rear El Left El Right
-------- Lace of Curb
Lateral Size: Test Type: ><Water ❑ Air
Cleanout: 0 Existing 0 New Installation Status: >l Pass ❑ Fall
Comments and/ or
Sketch:
Sewer Lateral Condition:
Exemption Type:
No Repair_
.Rep Needed
10 Year ❑Partial
Repair.Made
10 Year Fj
New Installation
25 Year >��_