95523 81U3 Park viiia c ircJ_e
Building Permit Confirmed 2r
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIO�jN FOR PLUMBING and/or GAS PIPING PERMIT
Da+e :-----/?......_-- 19.71 Permit No.,.------��5 s -- ------...----
The undersigned her by? kas application to the.Plumbing Inspector of the City of San Jose
for a permit to install I bsn '/fikf ro end/o a listed on the reverse side.
rr,,�� � �� PjP r -
Ezempfion from r gd'rem i'f�f5tego'{s,Celif oin��aNConfractor's License is hereby claimed
by undersigned: , as owner ❑ statement filed ��[]��//��----��
Undersigned attests that his State of Calif.zaia Contractor's License # ZM–d2_ZL_
is in full force and effect and ro erl authorizes tthii a licaf//i�o/nn..///�/(� Iy–'
San Jose City Business License e#-4 G50 pp�®!1� /°/ �(
I certify-that in the performance of the work f3rrwhich this permit is issued I shall not employ
any person inany manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING -L'4-,"e-1-Z,
JOE RAL PLUMBING, INC.
200 Sig ------- -------:--------------------------------------------------------
..
e6'-�`Park villa Circle Amaral Plumbinq
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Materia_
Water Closets Hoppers T _ To Se is 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 Mater'
Waste Disposals Swim Pool FEES
Wash Trays. Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Wafer Treat. Equip. Backflow Prevenfer Storm Drain Fee
Finks Survey Wafer Sys. Fee
)ental Units Gas Piping Fee /
Drinking Fountains Survey
Permit Fee a .
TOTAL TOTAL FEE ,5,5
INSPECTOR'S REPORT HOUSE GAS PIPING
'artial -/�,-7L �l�R.®�hV No. Lines Outlets _,Z_ Size
tough -mss-7 i. —�7U�S�y�>L Tested and Approved
'finish -y By 64 4