4917 1606 Jamestown
/ Building Permit Confirm
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS LPIPING PERMIT
Date----�-.,./.. -------------------------- 1973 ......................------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit t in a as p�7)�r p s d on the reverse side.
Ere mption m o�$lRf oY or Contractor's License is hereby claimed
by undarsig n¢d: es owner ❑ statement filed ❑rr-'� '�}}jj
Undersigned attests th is State of California Contra s License #C27.znL7
is in full force end af{ec+ erly of r' t 'c +i n.r� d(�
San Jose Cify Busine s ¢ .�.' / �iC�
I certify that in the performance of the work for which +hi permit is issued I shall no+ employ
any person in any m n o as to violate the workmen's compensation laws of California.
OWNER /'r[5
ADDRESS V��R—� �11r Lo+ No.
USE OF BUILDING-1—IF
280 70 Signe ..... ....... .SFi.. .-.".tEcc �----------"----..
Sunset Poole
lAnA .Tnm catnsun Snn AP+'
FIXTURES NO. FEEI MAIN DRAIN
Water Heaters 1 Size Material
Water Closets To IFee
Bath Tubs RAIN WATER DRAINAGE
Showers SizeMaterial
Lavatories To I Fee
Kitchen Sinks WATER SYSTEM
Diah W s er Size Material
Noste Disposals Water Fixture Fee
Nash Trays HOUSE GASP IPING
Nashing Machines No. Lines Outlets
Nater Treat. Equip. 1 Size Fee
Sinks FEES
Dental Units Fixture Fees 14.00
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water Sys. Fee
Sand Traps Gas Piping Fee .30
Urinals Survey
Area Drains Permit Fee $2,00
Water Leaders TOTAL FEE 1 0
Trailer Space INSPECTOR'S REPORT
Swim Pool 1 Gas Piping
Indirect Wastes Approved
Jr well B A14
3ackflow Preventer 1 Partial
purvey Approvd 12
By I
ough
TOTAL Approved
B
Finish
A roved
B