11812 1606 Jamestown
Building Permit Confirmed 0
Not Required 0
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS^PIPING PERMIT
Date............... - 1 10- 12--- 19.7'. Permit No.--lL4L` ------------ ...........
Tho undersigned ereby make a licati.n W the P Bing Inspector of the City of San Jose
for a permit to i al V in Z a r i ed on the reverse side.
Exemption fro menf S o a or a for Contractor's License is hereby claimed
by undersigned: as owner 0 statement filed 0 2 -1 Z 3 7Undersigned attests tha4 his pate-o4 Cali rnia Ctr License $k
is in full force and effect and o flJ�(�/eu}h s hi/t/ pl' iorJul`/�/`�_G�/�
San Jose City Business Lice e 7
I certify that in the performance of the work for which fhi permit is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER L L L / e,T T
ADDRESS /6 O TA'h7&S'TO4tw 0/L Lot No.
USE OF BUILDING 2 e s //�� /� /`
280-30 (9-73) Sign Id .a-cc 11�.-Er ."'t'°`t•C.Pj/y��J9
...�...— -------- ---------`------
1606 Jamestown ace
FIXTURES NO. FEE MAIN DRAIN
Nater Heaters r /.00 Size Material
Water Closets To Fee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To Fee
Kitchen Sinks WATER SYSTEM
Dish Washer Size Material
Naste Disposals Water Fixture Fee
Yash Trays HOUSE GAS PIPING
Vashing Machines No. Lines Outlets
Voter Treat. Equip. Size Fee
Sinks FEES
Dental Units Fixture Fees ,po
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water S s. Fee
Sand Traps Gas Piping Fee
Urinals Survey
Area Drains Permit Fee :2.
Nater Leaders I TOTAL FEE I--7c-
Nailer
3oafrailer Space INSPECTOR'S REPORT
>wim Pool Gas Piping
ndirect Wastes Ap roved
)r well I B
Sackflow Preventer Partial
urvey Approved
B
Rough
TOTAL I I/.e0 Approved
B
Finish
Approved
By 22t4-9�