82330 7437 Prospect Rd .
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date-----------7" g 03 30
--- ,i Z.--.... 19-�0.9 Permit No....----------------------��--------------
The undersigned h�erab . rgak sftp�llcayion + th Plu bigg Inspector of the City of San Jose
{ora permit to install lu b(n f flires� d'/ r pipe,voi (ori the re.erse side.
Exemption from req mreme for S+elle of California for Contractor's License is hereby claimed
by undersigned. as owner ❑ statement filed El
Undersigned attests that his State of California e,Eontracfolgl-ige,�
is in full force and effect and properly euthorixEs� 1�appGufion/V
San Jose City Business License #
I certify that in the performance of the work for which this permit is issuedI shall not employ
any person in any manner so to viola+o the workmen's compensation laws of California.
OWNERS iG To.—
ADDRESS /�2vS�c c Cho 9
USE OF BUILDING-T Sign
L01 NUG . -
zeo•ao to-ee
ed -. � r�}�-- ------------7437 Prospect Rd. Lifetime PooLs-
FIXTURES FIXTURES MAIN DRAIN
Water Heaters / Floor Drains Size Material
Water Closets Hoppers To I 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
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 Z,
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPINGet
Partial _ .� No. Lines Outlets
Rough / Siz((
Tested and App ved
Finish By