88861 2325 Strafford Drive
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE 1 BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date------------------S� r--/. ----- _---- 19.74- Permit No.... /--------------
The undersigned hereby makes application to the Plumbing Inspector of the City of San Jose
for a permit to install plumbing fixtures rd/or pipes listed' on the reverse side.
..9 �y .•rr ,r i�Jr�
Exemption from requirement�or5fate-dfyCaGt�rni�for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement tiled ❑
Undersigned attests that his State of California Contractor's License #R3790"6�
is in full force and effect and properly authorises }hisTa rplication/./qy//,/,�,�/
San Jose City Business License # Z1;✓d/8��� V/ a"1eA/✓ 7
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 A:� &OS B
ADDRESS '"' : 5 ,. Lot No.
USE OF BUILDING PCS
2BO 30 Aug. 69 Signed -GZ.o:C._L . -..Y� ��� --/Lr
2325 Stratford Drive ✓ .Ace Plumbing
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Water Closets Hoppers To To Septic Tank
Bath Tubs Sand Traps RAINWATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains To Curb I To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
MMachinesDry�well
hers Trailer Space Size Material
sposals Swim PoolVGasPipingFee
FEES
ys Indirect Wastes
Machines Drywell Feeeat. Equip. Backflow Preventer FeeSurvey Feeits FeeFountains
Permit Fee D a 5
TOTAL TOTAL FEE o ��
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines Outlets Size
Rough Tested and Approved
Finish i Q- 7O
6y