86066 7803 Lilac Court
Building Permit Confirmed ❑
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING /P�E�RMIT
Date...........3 a - .......---- 1970 Permit No-----------2 (O 2WZ6--------------
-
undersigned he make ppl' a ' n i fhe�Plumbi Inspector of the City of San Jose
for a permit to instal p11 is / i�the reverse side.
Exemption from r uueme or e o ornia for on}ractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑
Undersigned attests that his State of C ifornia Contractor's License #
is in full force and effect and properly aulvr is
San Jose City Business License #
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any menner so as to violate the workmen's compensation laws of California.
OWNER *�el , A
ADDRESS 2� 3 O G��/� G G r Lot No.
USE OF BUILDING /„}
480-30 Aug. 69 Signed .I-1-- --W�_L.:/....--/> --. .L.-C/-C......._...-.-----.
7803 Lilac Court Alwin
' FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains SizeMaterial
Water Closets Hoppers To To Septic Tank
Bath Tubs Sand Traps RAIN WATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains To Curb To Main,Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size Material
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywell - Main Drain Fee
Wafer Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. fee
Dental Units. Gas Piping Fee
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PTPING
Partial r No. Lines Outlets Size
Rough Tested and Approved
Finish By