67765 7647 Rainbow Building Permit Confirmed ❑
Not Required Ia,/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date----February--15..................... 19--.67- Permit No.--�..�.... ...( .. ----------
The undersigned herob k s app'tali t th u 6i g ns for o e City of San Jose
for a permit fo ins}all plu bi f' s s I' e o�everse side.
Exemption from requiremen as Ca orn' r o actors License is hereby claimed
by undersigned: a owner ❑ statement filed 234281
Undersigned attests that his Stara 0' Californ'�j Contractor's License ${'
is in full force and effect and properly aufhorizes fA' a�plicafii�jyy�� �y i
San Jose City Business License # �( jtt
I certify that in the performance of thew or * ich 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 AND)01 MUTT SOFTMASTERINC
]647 RAINBOW DIRYE
1150 DELL AVE.
ADDRESS CAMPBEI L CALIF
379-5050
USE OF BUILDING IR HOUSEHOLD v 9
FORM 290-30 (REV. 3/6e1 lOM
Signed-- --�r '----
7647 Rainbow Softmaster
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Water Closets Hoppers To 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
DisTr
h Washers ailer Space Size Material
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee OO
Washing Machines . -Drywell Main Drain Fee
Water Treat. Equip. Backflow Prevent?,o
Drain Fee
Sinks Survey Sys. Fee /, p O
Dental Units ping Fee
Drinking Fountains
Fee av
TOTALTOTAL FEEINSPECTOR'S REPORT HOUSE GAS PIPINGO�1OIes Outlets Size
Rough Tested and Approved
Finish By