Loading...
26611 I 670 TAMRS TOWN ROAD Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE 9 BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT. // 'f Date-----L...---- --. .... 19:.. Permit No._.....:�.6.�,11------------ The undersigned hereb kes licafi to t P b' Inspector of the City of Sen Jose for a permit to install p or ip i n the reverse side. Exemption from re ' e e a or S o alif ma For Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed ❑ es5 Undersigned attests that his S to of California Conlrec�to�r'{s�L�icense # P is in full force and effect and pro a IVfhovrir lir Sen Jose City Business Licen # /// 1 certify that in the performance of the ork 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 � 77 c�J6;zl r7a -Ta ADDRESS /6 -,t-, "�t &,6h,< Lot No. USE OF BUILDING Signed -----. .'..4.�-/--Q-C.�/ T F,7n ,TAMP.(; TOWN ROAD U/Jv `"' —" —A280-,,4Oln FIXTURES N0, FEE MAIN DRAIN Nater Heaters Size Material Nater Closets To Fee Bath Tubs RAIN WATER DRAINAGE Showers Size Material _avatories To Fee (itchen Sinks WATER SYSTEM )i5h Washer Size Material Vaste Disposals I Water Fixture Fee Vash Trays HOUSE GASP IPING fashing Machines No. Lines Outlets Vater Treat. Equip. Size iFee Sinks FEES )ental Units Fixture Fees )rinking Fountains Main Drain Fees 'loor Drains Storm Drain Fees coppers Water S s. Fee iond Traps Gas Piping Fee Jrinals Surve 4rea Drains Permit Fee Vater Leaders TOTAL FEE,I� frailer Space INSPECTOR'S REPORT iwim Pool Gas Piping ndirect Wastes Approved )r well B iackflow Preventer Partial urvey Approved B Rough TOTAL Approved B Finish Approved By iii