19748 8069 HYANNISPORT
Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date..._----------------------:'?-...... -- 197(. Permit No.. .- ----
Th. undersigned here Wj^e ke p' al' t I m sPaclor of the City of San Jose
for a permit Yo installgy6f ix or t o }he roverse side.
Exemption from re,(am or a of a f rnia or ontrac}or's License is hereby claimed
by undersigned: es owner statement filed ❑
Undersigned attests that his State of r Condors Jfenje '3�5 y��j
is in full force and effect and properly aut : his aJfpjtc /[a/` - /
San Jose City Business License # ��,y�6/
I cerlify 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 //ciivlr7/-/
ADDRESS 5U E �/� y/✓7 S/�c':C Lot No.
USE OF BUILDING
280-30(9-73) Signed—� - -------------------------------
8069 HYANNISPORT LARRY�S2 ?rBZ3
FIXTURES NO. FEE MAIN DRAIN
Vater Heaters Size IMaterial
Vater Closets To I Fee
3oth Tu6s RAIN WATER DRAINAGE
ihowers Size Material
_avatories To Fee
Citchen Sinks WATER SYSTEM
)' Washer 2mo Size Material
Vaste Disposals lWater Fixture Fee
lash Trays HOUSE GASP IPIN-(T
lashin Machines No. Lines Outlets
later Treat. Equip. Size Fee
>inks FEES
)ental Units Fixture Fees —
)rinking Fountains Main Drain Fees
'loor Drains Storm Drain Fees
coppers Water S s. Fee
fond Traps Gas Piping Fee
Jrinals Surve
Area Drains Permit Fee
Vater Leaders TOTAL FEE '7 c0
Frailer Space INSPECTOR'S REPORT
iwim Pool Gas Piping
ndirect Wastes Approved _
Ir well B
Backflow Preventer Partial
urvey Approved
B
Rough
TOTAL Zoo Approved
B
Finish
Approved
B