82297 Restaurant
L655 Saratoga Sunnyvale Rd.
Building Permit Confirmed ❑
Not Required ❑
CITY OF,SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR
PLUMBING and/or GAS PI INGPERMIT—
Date- `- -'- ---- U
V.
-----------------
The undersigned hereby/�ne kes appWi�
hbing Inspect r of 4he City of San Jose
for a permit to install olrflbi t �fr or's rseLic side.
Exemption from re Stnir ors License is hereby claimed /�by undersigned: s owste}amen+ filed V
Undersigned attests that his State of �CfPlifornia ntrac}or's License
is in full force any affect and properly Z-- eJ,• i
San Jose Cit Business License // �// /(/C�✓�
I certify that i he erformanc he work or which this p it is issued 1 she not employ
any person in a n r so as t vio }e +h en's compen io laws of ifornia.
OWNE
ADDRE
USE OF BUILDING
290-30 10-a9
Signed .. --.. - --- -- --- --- ---- --------------
L655 Saratoga Sunnyvale Rd. Sery soft
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
Dish Washers Trailer Space Size Material
Waste Disposals Swim Pool i FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Water Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines Outlets Size
Rough Tested and Approved
Finish — — 99 � By