100279 7426 Wildflower
Building Permit Confirmed ❑ .
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION F R PLUMBING and/or GAS PIPING PERMIT
Date..../ .. -- ----- 19------- Permit No..-----------1 qa f'/--------------
Tha and rsignad hereby makes0appl �ion�o�the�. Plumbg Igspe�for of the City of San Jose
for a permit to install plumbing fixture d?•er�pipai�Gite��s=#Ie"r 16.1Js
Exemption from requirement for State df Calif�ia for Contractors Lieense is here y aimed
by undersigned: as owner ❑ sta}eman; filed
Undersigned attests that his State of Cali rnia2Go5e'acfor s////L•i����cen #� '
is in full force and effect and properly au zazft}iy/e�� -000,-
San Jose City Business License
I certify that in the performanc the work for which this permit is issued I shall not employ
any person in any manner 40 : la he r en's compensation laws of California. ,
OWNER
ADDRESS Lot No.
USE OF BUILDING /
zeoaoSigned.... - ------- --- --- ------.--.-..............
7426 Wildflower Servisoft
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 I Material
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee _
Wafer 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
Partial INSPECTOR'S REPORT HOUSE GAS PIPING
Rough No. Lines Outlets Size -
Tested and Approved'