73851Building Permit Confirmed ❑
Not Required H�—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPI/N'G7PERMIT
Date ....
.... Feb...... 21 ....................... 19.68. Permit No. ---------- G ------ .L.._r1..iJUJI
The undersigned hereby ak Ot�ow
hi➢g II of the City of San Jose
for a permit to install p bb ste a rse side.
Exemption from req ' t or's License is hereby claimed
by undersigned: statement filed ❑
Undersigned attests that his State of lifo ie Contracfor' License # 216217
is in full force and effect and properly #' fh this applic�/�
San Jose City Business License
I certify that inthe performance of the work for which f is permit is issue shell not employ
any person in any manner so as fo violate the workmen's compensation laws of California.
OWNER Patrick Morton
ADDRESS 7678 Rainbow Dr.
USE OF BUILDING Residence
FORM ZaO-30 (REV. 3/661 IOM Signed ........ ..... .. -
7678 Rainbow vt C 11Wn
FIXTURES
FIXTURES
MAIN DRAIN
Wafer Heaters -
Floor Drains
Size
Material
Wafer 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
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.
. 00 Backflow Preventer
Storm Drain Fee
Sinks
Survey
Water Sys. Fee 1.00
Dental Units
Gas Piping Fee
Drinking Fountains
Survey
Permit Fee 2.00
TOTALTOTAL
FEE 4.00
INSPECTOR'S
REPORT
HOUSE GAS PIPING
Parfial-
Rough
No. Lines Outlets Size
IlTested and Approved