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85373 7624 Rainbow Dr Building Permit Confirmed ❑ Not Required LT CITY OF.SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT T Date---- --��.:.........--------------. 19�L' Permit No.---------��-`- --72........--"---- Tha undersigned�"epp kat' n to the Plumbing pector of the Ci}y of Sen Jose (orapermit }o insta plu ip s e reverse side. Esemp}ion from o A a r ntrac}or's License is.hereby claimed by undersigned: asowner ❑ statement filed ❑ Qa Undersigned attests that his State o�California Contractor's License # L� is in full fsyco and effect and properly utr�is a a San Jose City Business Licennse # a 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's compensation laws of California. ' OWNER�L/�C-�1-/Y, y ADDRESS _7 /�C _y� �"UV/�A�✓'�� ��' . Lot No. USE OF BUILDING_4) C 280-30 Aug. 69 Signed-_Lf[-.�'P�._ 1-L .r..-.. 7624 Rainbow Dr Ace Plumbing Se ice FIXTURES FIXTURES MAIN DRAIN Wafer Heaters Floor Drains Size Material Wafer 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 j%TOTAL Fixture Fee _ Washing MachinesMain Drain Fee Wafer Treat. Equip. Storm Drain Fee Sinks Wafer Sys. Fee Dental Units as Piping Fee Drinking Fountainsurvey ermit Fee TOTAL FEE INSPECTOR'S REPORT,,— HOUSE GAS PIPING Partial i- — No. Lines Outlets Size Rough Tested and Approved Finish By