96951 7811 Lilac Ct.
Building Permit Confirmed ❑
Not Required ❑ ,
CITY OF SAN .JOSE BUILDING DEPARTMENT.
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date.-- - --------------- 19-2pr—Permlt. No.----------k..Fl... ..............
The undersigned reby ma anion t�e Plum ' Inspector of the City of Sen Jose
fore permit io i T81 n and r i n the royerse side.
Exemption fr re an Sf f is r Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed �
Undersigned attests thef his S4 of California Contractor's License #A1 Qti/ 3I;r
is in full force and effa t and prop ly _-VV rhes a Ii a�' n. ' l
Sen Jose City Business Ucens �=
I certify that in the porformance of the work for which this per is issued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER �V QMl� Q3 Rn�p✓v�Scr>�>
ADDRESS ?311 Lot No. rj j
USE OF BUILDING 001 ReS r�
zeo.ao Signed ..Uu!$.. f 1.... .�--7QG�.S
. 7811 Lilac Ct. Val' s Custom Built Pools
FIXTURES FIXTURES MAIN DRAIN '
Water Heaters Floor Drains Size Material
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 MIFixture
FEES
Wash Trays Fixture FeeWashing Mochines Main Drain FeeWater Treat. Equip. Storm Drain FeeSinks Wafer Sys. FeeDental Unitsas Piping FeeDrinking Fountains- Surveyermit Fee
TOTAL TOTAL FEE 16 3
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial
Z... / No. Lines Outlets Size
Rough Tested and Approved'. - -)
Finish .S— lli `'//I GVI.f.�Y� By t V%.