98511 7508
Dumas
Building Permit Confirmed
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-------------s.l-.Cs..t�2- ------ 197<Z Permit No.---?�J..1..t---
The undersigned her t+Y ekes tion to the Plumb' Inspector of the City of San Jose
for a permit to insta plu �o.�
/or �9e i the reverse side.
Exemption from or al' n ontractor'z License is hereby claimed
by undersigned: as ❑ statement filed ❑
Undersigned attests that his State� yy1�(��[[ California Cont actor's Licens l.. S3 73787
is in full force and effect and properly/�tfa>;r+%this/ i�fi �
San Jose City Business License #o'
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER 4 /S 7-0 A,1
ADDRESS 7SOf3 U MQ S D Lot No.
USE OF BUILDING�a✓�00 �
2e0-30 Signed-----=------
---
7508 Dumas Dr.
'SG` Sffset Pools'3
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Water Closets .Hoppers To - To Septic Tank
Bath Tubs Sand Traps RAIN WATER DRAINAGE
Showers - Urinals Size Material
Lavatories Area Drains To Curb 1 To Main Sewer
Kitchen Sinks Water leaders WATER SYSTEM
Dish Washers Trailer Space Size Material
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Water Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE
I ECTO REPORT
Partial Z HOUSE GAS PING
_ J. -
Rough � No. Lines Outlets ize
Tested and ove
UJB By