89528 7515 Waterford Dr.
Building Permit Confirmed ❑
Not Required. ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date--------------------dl,41------------------ 19.>Q. Permit No.-`--..v.1----f�.................
Theundersigned hereby m s application to the Plumbing Inspector of the City of San Jose
for a permit }o install plum s ipes s / t verse side.
Exemption from require } t is o a is License is hereby claimed
by undersigned: a owner ❑ sta amen+ filed ❑
Undersigned attests that his State of California Contractor's License # 237 40
is in full force and effect and properly authorize lice�}�'p�/./,,�� /L
San Jose City Business License#,-,61 orrrLl Z9,
1 certify that in the performance of the work for which + is permit is issJed I shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER IN g.,
ADDRESS 76—/F- W�9/n,t b t b Lot No.
USE OF BUILDING lf
280d0 (� /
Signed 1/7-&--P-4 -w
7518 Waterford Dr. Ace P1b9
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Water Closets Hoppers To To Septic Tank
Bath Tubs Sand craps 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 of
Washing Machines Drywell Main Drain Fee
Wafer Treat. Equip. Backflow Prevenfer Storm Drain Fee
Sinks Surve Wafer Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains ! -3 Survey
/ L' _ Permit Fee p
TOTAL TOTAL FEE 3 3'
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial es No. linOutlets Sire
Rough
Finish Tested and Approved
By