97922 '1099' Milky Way,'
y Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE ��/`� BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
7
Date------- S — Z*? —._..------------------- 19- 2
------ Permit No. -- ----------------
The undersigned hereb al, application to the Plumbing I actor of the City of San Jose
for a permit to install esr�rr's Lic side.
Exemption from re o o r rector's Licenso is hereby claimed
by undersigned: as owner ❑ statement filed ❑.
Undersigned dNeffs that his pStateroperly
of ni CePfrec4or's License
is in full force and effect and properly f Ca We p
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 manner so as to violate the workmen's compensation laws of California.
OWNER C :ZC'cNr C, J
ADDRESS /O99 /7/,'a V kl.c 1 Lot No.
USE OF BUILDING 2a
_.. '
zeoao /f
Ace Plbg.•
1099 Milky Way
FIXTURES FIXTURES MAIN DRAIN
Wafer 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 Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee ,00
Washing Machines Drywell Main Drain Fee
Water Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee a .00
TOTAL TOTAL FEE 3_do
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines Outlets Size
Rough Tested and Approved
Finish — By