23359 LOf J /.:)y7 MrJAll-ICKW000 UK
PlA,V3 Building Permit Confirmed•[/
9 Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date---- -------------------- --/ --------. 19.7z Permit No.------Z------- -----....
The undersigned here y makes a li atio to P�Ium6ing I actor of the City of Sen Jose
for a permit }o it fall u u r e li d e reverse side.
Exemption from re S of a o rector's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of Calgornia Contractor's License
is in full force and effect and properly aufho ze }I pic a(
San Jose City Business License #
1 certify that in the performance of the Cork for which this permit is issued shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER P,101eroSA �OMBS 5—r31
ADDRESS 7!�95 11&A71A?rwood DI'ive Lot No. j
USE OF BUILDING 7le512e,4/C e
280-30(9-73) Signed---c�-----t�0----------------------------.
7595 HEATHERWOOD DR CROWLEY
FIXTURES NO. FEE MAIN DRAIN
Nater Heaters SizeMaterial
Nater Closets - To Fee
Bath Tubs — RAIN WATER DRAINAGE
Showers — SizeMaterial
Lavatories To Fee
Kitchen Sinks WATER SYSTEM
)wsh Washer Size Material
Naste Disposals I Water Fixture Fee
'
Vash Trays HOUSE GAS PIPING
Vashing Machines No. Lines Outlets
Vater Treat. Equip. Size Fee
Sinks FEES
)ental Units Fixture Fees
)rinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water Sys. Fee 2, 1
Sand Traps Gas Piping Fee
Urinals Survey
Area Drains Permit Fee
Nater Leaders TOTAL FEE
Trailer Space INSPECTOR'S REPORT
Swim Pool Gas Piping
ndirect Wastes Approved Z
)r well B
3ackflow Preventer Partial
urvey Approved L i1
B
ough
TOTAL App r ve —Z
f' //- /� �k.
:C .N LV ')2-t��6 Finish
�s./.v Y(/ i. 12—,&), proved 27