92561 7475 ProSpect Road
Building Permit Confirmed,[
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APP ICATIOQQN FOR PLUMBING and/or GAS PIPING PERMIT PERMIT
Date..:. --'1---.. -------------- 19..!..A Permit No..........4/_ �L.L�L..----------------
Th undersigned hb]yr�rrakas,gpplic`n to }h�.P�um bing'Ihspac}or of the City of San Jose
for a permit to install pld'mi t�eJ�fixture and/or pipes isi d/n�the reverse side.
l/^I/.4� L� s 9 �a.�,
Exemption from requ uem nt for State of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement filed ❑ /
Undersigned attests that his State of•Califor is Contractor's License #
is in full force and effect and properly euthori: s.}his appli�'cafic$ }rte py'
San Jose City Business License # /'
I certify that in the performance of the work for which }hi permi is issued I shall not employ
any person in any manner so as t violate the workmen's compensation laws of California.
OWNER
ADDRESS �4IS � Lot No.
USE OF BUILDING-
280 30
UILDING28030 Signed .__ ..-. �C.�..------- — /-------- -------------------
JN E7 GA,
7475 Prospect Road Wenger Plunbing
!Water
IXTURES FIXTURES MAIN DRAIN
aters Floor Drains Size Material
osets Hoppers To To Septic Tank
s - / Sand Traps RAIN WATER DRAINAGE
Urinals Size Material
s Area Drains To Curb ( To Main Sewer
inks Water Leaders WATER SYSTEM
shers TrailerSpace Size ` Material ,�—
isposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Water Treat. Equip, Backflow Preven ter Storm Drain Fee
Sinks Survey Water Sys. Fee
Dental Units - Gas Piping' Fee ';
P
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE ',,, . i
INSPECTOR'S REPORT HOUSE GAS PIPING
Parlral V 2 ifdD./BU/P.iG No. Lines Outlets Size ?
Rough Z-2- 7 Tested and Approve,
Finish _n /( " " '!,L(-' By
Nj Cewt t fl:U