8494 7983 Woodlark Way 9
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
DateJ.: - `` 13- --_.... - .. 1970 Permit No...LL....`.... 6/ - -'- -----
The undersigned hereby makes application to the Plumbing Inspec r a City of Sen Jose
fora ermit ro ns a umbi fixtur s and/or pip d ! vers si
Ezamption fro requ r m for fay� o z q rector's Liconsa is hereby claimed
P, f
by undersigned: / o or�/ -statemen4 filed ❑ _
Undersigned osts 1 his State of California C fr for' i ss� # fi ��t"K_
is in full force end eVe and properly�FZwJ�as 11d-' pp ca>for✓•
San Jose Cily Busi assta
I certify that in the performan 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 ` r e � 0'2!�XZ ,�5
ADDRESS LotK - No
USE OF BUILDING
28030 Aug. 69
7983 Woodlark Way Zimmerman .& Sons
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 FEES
Wash Trays Indirect Wastes Fixture Fee p
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 �.(7
TOTAL TOTAL FEE 3 6 D
Partial INSPECTOR'S REPORT HOUSE GAS PIPING
Rough /— / —7G No. Lines Outlets Size
Tested and Approved
Finish B
Y