30417 7627 HOLLENDERRY PL pvArye6PKtlTa ( Building Permit Confirmed 0
Not Required 711CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date....................<Z../.2.-..---------- 19.E-.7 Permit No........3a-�--1-�-----------------
The undersigned hereby makes application to the PI b' Inspaefer of the City of San Jose
for a permit to install plumb' x r a as n arse side.
Exemption from requir a al la r ri License is hereby claimed
by undersigned: as caner 0 statement filed 0
Undersigned attests that his State of or ant Oar's L' onto
is in full force end effect and properly eylCi —is
San Jose City Business License #
I certify that in.the performance of the work for which this permit is issued 1 shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS r <<> '�� C �.et v�zQuww Y% Lot No.
USE OF BUILDING (� q
Signed...ax:4.....
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7627 HOLL_ENDERRY PL DACE PLUMB 28040113
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7627 HOLLENDERRY PL p'v�l ntw[PKaxTca 4 Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPINl�Gf PERMIT
Date... ................q- /.2-.---......... 19-777 Permit No........ -...`-r-7.---...--------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumb' 'x r o as
a n arse side.
Exemption from requir a al ria r is License is hereby claimed
by undersigned: as wner ❑ statement filed ❑
Undersigned attests that his Stele o4 'orn' �onljjy��jdors L'censa
is in full force and affect and properly a /his 9�p}f- �
Sen Jose City Business License # _ t ` �C
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any mannersoas to violate the workmen's compensation laws of California.
OWNER
ADDRESS 7 (c'J'>Z`� Q � '� �`" T Vu Lot No.
I
USE OF BUILDING
Signed ... ZZ4.....✓�/�
—U-7-----ter................ ....
280-,�4un
7697 Hrn I wnlnFalav PI 1ACE PLUMB
FIXTURES NO. FEE MAIN DRAIN
Water Heaters Size Material
Water Closets To I Fee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
avatories To IFee
Itchen Sinks WATER SYSTEM
Washer SizeMaterial
Waste Disposals Water Fixture Fee
Wash Trays HOUSE GASP IPING
Washing Machines No. Lines Outlets
Water Treat. Equip. Size Fee
Sinks FEES
Dental Units Fixture Fees
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water Sys. Fee
Sand Traps Gas Piping Fee
Urinals Survey
Area Drains Permit Fee 2,00
Water Leaders T OTAL FEE .100
Trailer Space INSPECTOR'S REPORT
Swim Pool Gas Piping
Indirect Wastes Ap roved
Dr well I B
3ackflow Preventer Partial
iurvey Approved
B
Rough
TOTAL ( 1.00 Approved
B
Fini h
Approved
B U