27083 754U HtAIHtKWWU UK
Building Permit ConfirmedcCI,-�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------I?Zh i---/y,........... 1977 Permit No... �.Ur..� --..........
.......
The undersigned here melees a pli a}io tmbin nspec}or of the City of Sen Jose
for a permit }o install ���i u r p si n he reverse side.
Exemption from r r o if �a o nfrec}or's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
TZisUndersigned attests }hat is State of C ma Contractor's License #C=7 7.161) YT-
is
in full force and effect and properly aufri: iz Sappl' /�/ i '
San Jose City Business License # �� �
I certify that in the performance of the work for which this permit is issue&f shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER - 'IZIIAa DNS
ADDRESS '7,T 510 /4 F,4-T- i IF 1Z W C C X 1-2. Lot No.
USE OF BUILDING -0
�- -- /
280�,401n
7540 HEATHERWOOD DR ROYAL POOLS
FIXTURES NO. FEE MAIN DRAIN
Water Heaters ZS I Size Material
Water Closets I To lFee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To Fee
Kitchen Sinks WATER SYSTEM
Di5h Washer Size Material
Waste Disposals
Water Fixture Fee
Wash Trays HOUSE GASP IPING
Washing Machines No. Lines Outlets
Water Treat. Equip. j x I Size/ L Fee r�
Sinks FEES
Dental Units Fixture Fees / D,
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water Sys. Fee
Sand Traps Gas Piping Fee ,)(J
Urinals Surve
Area Drains Permit Fee
Water Leaders TOTAL'FEE
Trailer Space INSPECTOR'S REPORT
Swim Pool e� Gas Pi in
Indirect Wastes Approved g
Dr well B
Backflow Preventer °- Partial
Wrvey Approved
B _
Rough
TOTAL Z Approved
B ,
5e-Z2-7 Finish
A ro ved� A
B ?cQ(s(efob