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33597942 FORT BAKER CITY OF SAN JOSE Building Permit Confirmed ❑ 9 Not Required ❑ BUILDING DEPARTMENT APPLICATION /FOR PLUMBING and/or GAS PIPING PERMIT Date/--'�r/"..:..-�L�....... .............. I wPermi# No. ..... 33-SY7---------------- The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose for a permit to install plumbing�ff'J'''���tt rre�e -� jan.d/o,.r.( P I' e o e averse side. E.ampfion from requirerrLniQov�Sfat�of593 nu r tee License is hereby claimed by undersigned: as owner ❑ statement filed Undersigned attests that his State of c a�ifornia Conj.�acfp Lic ns� is in full force and effect and properly i n: thi�q¢¢Ijtt .C>�// 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 manner so as to violate the workmen's compensation laws of California. OWNER ADDRESr. USE OF 942 FnRT BAKER Size WA 4 (itchen Sinks WATER SYSTEM )6sh Washer Size Material Vaste Disposals Water Fixture Fee lash Trays HOUSE GAS PIPING lashing Machines No. Lines Outlets later Treat. Equip. Size IFee Sinks FEES )ental Units Fixture Fees )rinkinq Fountains Main Drain Fees :Ioor Drains I Storm Drain Fees coppers Water Sys. Fee fond Traps Gas Piping Fee Jrinals Survey Area Drains Permit Fee _ Yater Leaders TOTAL FEE C -2r frailer Space INSPECTOR'S RE RT iwim Pool Gas Piping ndirect Wastes Approved )r well B iackilow Preventer Partial urvey I Approved e.. Finish