76331 1685 Galway Building Permit Confirmed ❑
Net Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS /PIPING] PERMIT
Date....JU1.Y_1.5 ------- ----------- 19_68 Permit No. fG!-. ---< ----------------
The undersigned her m k p' a+' to VPlu Inspector of the City of San Jose
for a permit to instal or i n the reverse side.
Exemption from r ui eme for a al ornia for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ L16217
Undersigned al+esfa that his S+ �.6alifornj� e +o cense #
is in full force and efied and pr e u hone /6i /f4` 12957
San Jose City Business Licens
1 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 Hyman Weintraub
ADDRESS 1685 Galway Drive
USE OF BUILDING Residence
FORM 20000 (REV. 3/eel IOM Signed.......v.."".. 1-Z-1:�..... ..
1685 Galwav Culliqan
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 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. j.0C Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. Fee 1.00
Dental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee 2.00
TOTAL .00 TOTAL FEE 4.00
INSPECTOR'S REPORT HOUSE GAS PIPING
PaAial No. Lines Outlets Size
Rough Tested and Approved
Finish �7,1i / tib) l By