34110 7532 HEATHERWOOD (�Q,grtlL �
Building Permit Confirmed—El
_mot Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-------T�l.7C?.7/ D.------:-----. 19...----. Permit No.--------'3¢-LI U..................
The un ersigne hereb makes ep Ilcat' n t the Plumbing In o{ the City of Sen Jose
for a permit }o install p i re ip n jIf 7rse side.
Exemption from req ' tat C is o r rs License is hereby claimed
by undersigned: s owner ❑ sfafement filed ❑
Undersigned attests that his Sf a of California Contractor's License #�"/
is in full force and effect and pro r adfnrizes t ' ep- is
San Jose City Business License
I certify the in the performance of the work for which this permit Visssued I shall not employ
any person in any man r so as to .folate the workmen's compensation laws of California. to-70
OWNER
ADDRESS 7s�.1 �G�tE!✓4�'+�'� Lot No.
USE OF BUILDINGd�..
Signed.�.�Tli�llli?. .47/1! �.� ----------......
fy � � 280�401n
7SXn HFATHFRW(NN) " TAPS TERkIITE INC
FIXTURES NO. FEE MAIN DRAIN
rater Heaters Size Material
Fater Closets To lFee
lath Tubs RAIN WATER DRAINAGE
powers I Z—5d Size Material
.ovatories To Fee
;itchen Sinks WATER SYSTEM
00sh Washer Size Material
paste Disposals I Water Fixture Fee
'ash Trays HOUSE GAS PIPING
'ashing Machines No. Lines Outlets
rater Treat. Equip. Size IFee
iinks FEES
lentol Units Fixture Fees 'Z-5 0—
hinking Fountains Main Drain Fees
'loor Drains Storm Drain Fees -
foppers Water Sys. Fee
iond Traps ' - - Gas Piping Fee
Jrinals Survey
Area Drains Permit Fee -2.va
Vater Leaders TOTAL FEE ,S
frailer Space INSPECTOR'S REPORT
iwim Pool Gas Piping
ndirect Wastes Approved
)r well B
ackflow Preventer Partial
urvey Approved
B
ved
ough
TOTAL I .2, Appro - --)
B
Finish
Apprwg,d5;fz-7
B