852307625 Newcastle
Building Permit Confirmed ❑
Not Required E9
CITYOF SAN JOSE BUILDING DEPARTMENT
APPLICATION
FOR PLUMBING? and/or GAS PIPING PERMIT
Date ----- "--.-.-_.41..._--- ............... 197g(/. Permit No. ----------- �.—�....Z...... _...
The undersigned hereby makes ayyplicafipp to fhe umbi InS ec1 r of the City of San Jose
for a permit to install plumbing fix Lr s n8/s�� 1 sled, 1,1'l seise side.
Exemption from requirement f �f'�+ /i�Cali o nia or Cont'. or License is hereby claimed
by undersigned: as owner] sfafement filed Oz
Undersigned attests that his State of California C ���[[[ac 'rx License .#'
is in full force and effectUsines and properly eufhorizthis
h � i a io1,z A /�
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, compensation laws of California.
OWNER
-7Lot No.
DD'•, .
USE OF BUILDING
28030 Aug. 69 Signed
7625 Newcastle Ace
FIXTURES
Water Heaters
Floor Drains
Size
Material
Water Closets
Hoppers
To
ITo 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
SizeMaterial
Waste -Disposals
Swim Pool
FEES
Wash Trays
Indirect Wastes
Fixture Fee
Washing Machines
Drywell
Main Drain Fee
Wafer Treat. Equip.
Backflow Preventer
Fee
Sinks
Survey
Fee
Dental Units
Fee
Drinking Fountains
-
- '
%NoLin
TOTAL
AL FEE
.INSPECTOR'S REPORT
Partial
/1
OUSE GAS PIPING
A„Nei.
I// --/U -Alit, JA-tA. _ ..