1954 928 Hyde Ave
9 Building Permit Confirmed ❑
Not Required -G_
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date---------------'----=3---- 3----1----- -- 19Z- .. Permit No........... ../.-.�.... .T.........----
The urdo,signed hereby m s li o !(4�PI p r f the City of San Jose
fore perm;} to ino.11 plumb of I' ed rse side.
Exemption from raquirem or ate o alifornie for Contractors License is hereby claimed
by undersigned: as vner ❑ statement filed ❑ . 2—T7
Undersigned attests that his State of Califoi a tor is se
/
is in full force and effect and properly author,. liace //✓
Sen Jose City Business License #' VJ �! y
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 1f ,#Ii L,
ADDRESS �-72- ,? 1JYDf= AV Lot No.
USE OF BUILDING YZ�'
2e0.30 Signed.r�'P. .��.`,.Y.- `_,xc. --------------------
nota v. qa J Ace _
FIXTURES NO. FEE MAIN DRAIN
Water Heaters ,00 Size Material
Water Closets ToI Fee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To Fee
Kitchen Sinks WATER SYSTEM
D'sh Washer Size Material
Neste Disposals Water Fixture Fee
Nash Trays HOUSE GAS PIPING
Noshing Machines No. Lines Outlets
Nater Treat. Equip. Size Fee
Sinks FEES
Dental Units Fixture Fees ,oD
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water s
S . Fee -
Sand Traps Gas Piping Fee
Urinals Surve
Area Drains Permit Fee �,ca
Water Leaders TOTAL FEE ec,
Trailer Space INSPECTOR'S REPORT
Swim Pool Gas Pi in
ndirect Wastes Approved
)r well B
3ackflow Preventer Partial
purvey Approved
B
Rough
TOTAL loo Approved
B
Finish
Approved
B