98517 7508 Dumas Dr rrr
Building Permit Confirmed e1
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Dafe.3 u` ........................... 1970.. Permi# No..------- �/---------------
The undersigned hereby ekes application to the Plugibbbiinrg,nspac}or of }ha Ci of San Jose
fora permit 4o install pl ip d/� CS he roverse side.
Exemption from raqu r et C orni for ntractor's License is hereby claimed
by undersigned: es owner statement filed ❑
Undersigned attests ffe than his State rl of Califo i W,a d'n
is in full force and affact and properly auihori i .Sp�jt���`�V
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any rr r so a`s to i'olata the workman's comp sation laws of California.
OWNER / f CI
ADDRESS 2<00 ��L�ts // u r' ��r Lot No. -7
USE OF BUILDING.�e%mac
28030
Signed --
7508 Dumas Dr. Relston
'J
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 I 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
Wafer 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
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial
No. Lines — 'F OutletsSize
Rough Tested and A
Finish B pproved