1034 7603 Hollanderry Place
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PI/PING PERMIT
Date---------.._-----.../- -- ----- -------
Th.
. .. 19.73. Permit No.-------/--�J-- ----------
The undorsigned he makes epp ce i to he Plurn nspector of }he City of San Jose
for a permit to insta pl I o e o the reverse side.
Exemption from or e o al nie f ontra cfor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his Stat /ff G�xdifznia ntr toj�r Li}� 2-37 70�
is in full force and effect and prop�lJ:/pargO> e3s;� �^
San Jose City Business License%*. 7c�
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 c')Lsot/ Sr T
ADDRESS 74-' 00 1Z61-Cq L DtRtzyPL Lot No.
USE OF BUILDING Rt:S
280-30 Signed .�� ..�/ Cl9- yf -'� - ..
7603 Hollanderry Place Ace
FIXTURES NO. FEE I MAIN DRAIN
Nater Heaters 4 001 Size Material
Nater Closets I To Fee
3ath Tubs RAIN WATER DRAINAGE
ihowers Size Material
_avatories To IFee
(itchen Sinks WATER SYSTEM
)j5h Washer Size Material
Vaste Disposals Water Fixture Fee
Vash Trays HOUSE GAS PIPING
Vashing Machines No. Lines Outlets
Vater Treat. Equip. I Size Fee
Sinks FEES
)ental Units Fixture Fees /,00 —
)rinking Fountains Main Drain Fees
'loor Drains Storm Drain Fees
coppers Water Si. Fee
land Traps Gas Piping Fee
JJrinals Survey
Area Drains Permit Fee 7,00
Yater Leaders TOTAL FEE I.3-od
frailer Space INSPECTOR'S REPORT
iwim Pool Gas Piping
ndirect Wastes Approved
)r well I B
lackflow Preventer Partial
urvey Approved
B
Rough
TOTAL /.cU Approved
B
Finish
Ap roved
B