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71866 7585 Prospect Rd Building Permit Confirmed ❑ Not Required X CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS P//IPIIN/G// PERMIT Date-/0/i.y ---------------------------- 19�� Permit No.-------�C.O..IO.Y?.................... The undersigned hereby ekes a plica}ion to�,he Plumbing Inspector of the City of San Jose fora permit to install lu ig�fF��s�anil/or/"i et i�st d� n 'e�eeyerse side. Exemption from raquiremenF fo�S}a{e of Californib'r�Con}rac}ors License is hereby claimed by undersigned: a7 owner ❑ statement filed,13 Undersigned attests that his State of California Contractor's License ��/�✓ �� / is in full force and effect and properly p,Gt�}_horixes }his 'I'icaTion. San Jose City Business License # / �D. ?:7�� ��`/ I certify that in the performanc of the work for which this permit is issued I shall not employ any person in a nn so a violate a workmeerjs compensa}' lows of Cali(ornie. OWN R - /' -:6y de' X75 J l - ADD E ` USE OF BUILDING FORM 260-30 10M 3/67. Sig ed-- - --------- -----------C-.�i–�—C.:G.-�`�..... 7585 Prospect Zupcic _ 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 Prevent Storm Drain Fee Sinks Survey Wafer Sys. Fee Dental Units Gas Piping Fee Drinking Fountains Survey Permit FeejT!T,� Q TOTAL TOTAL FEE INSPECTOR'S REPORT HOUSE GAS PIPING POrhal No. Lines Ouflets Size Rough Tested and Approved Finish r /