75716 7675 Erin Ct
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Dat----- f..------- 19-4--S-Permit No.------ ......S..,S/f(o----.....---
The unundersigned hereby kes app' do to the Plum61n actor of the City of San Jose
for a permit tc install plu in �}fif as p i fh reverse side.
Exemption from requi �(Fo ate a mi or Co raster's License is hereby claimed
by undersigned: a owner ❑ statement filed ❑
Undersigned attests that his State of California Contractor's License # .2 37 52r,2
is in full force and effect and properly outho izes f is application. ,4 / `—_
San Jose City Business License ��(�
I certify that in the performance of ih , ork or which this permit is issuedI shal not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER :;- C<C�
ADDRESS 71/1
USE OF BUILDING /Gtr
FORM 280-30 10M 1/68 Signed
7675 Erin Ct
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Water Closets Hoppers To I To Septic Tank
Bath Tubs Sand Traps RAIN WATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains To Curb To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size I 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 Wafer Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee ,
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial
Rough No. Lines Outlets Size
Tested and Approved
Finish V ��� By -