97663 7542 T-ockford Ct.
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOOjR PLUMBING
�Jand/or GAS PIPING PERMIT
Date .. jn� ..,d
. 4 . - ------. 19/C7�Permit. No,: ......0..7..�..�2 -.----
The ahere mekes applic ion o the Plumbing Ins ctor of the City of San Jose
for a prall u pi f o averse side..
Exemption from r r of or a o ctor's License is hereby claimed
by undersigned: as owner ❑ statement filed �Q�
Undersigned attests that his State of alifornia Contractor's License $F' A
is in full force and effect and properly
San Jose City Business License #
I certify that in the perform d the work for which this permit is issued I shall not employ
any person in any manner s late the workmen's compensation laws of California.
OWNERa�
ADDRESS Lot No.
USE OF BUILDING
2e0.30 Signed .......
.C.rrklr%:•!. .V...l,,,,�./.'�.e .r�r
7542 Lockford Pace
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
-Water 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
DishWashers Trailer Space Size Material
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Water Treat. Equip. Backflow Prevenfer 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 PIPING
Partial No. Lines ETC`S utlets Size3
Rough - - Tested and Approved
Fs '
Finish BY �yltid.L:.-�