6459 (2) 7886 Fiesta
Building Permit Confirmed ❑
Not Required le
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING
� PERMIT
Date------------------- ---z.G.. .------. 19 -
.73
—- - .. Permit No..-- ------ C5
zo. !` �1--------
The undersigned her kg$ app�c or_o?4 Pymb no Inspector of the City of San Jose
for a permit to instal p n<W1 .lf(� fst�on the reverse side.
Exemption from requirem t for State of California for Contractor's License is hereby claimed
b undersigned: as ow or to/t-6Me t ed ❑ Z`3
y Undersignadattests that his S4aZf,/C lifornj� r a�'sl� e
is in full force and effect and properly abthorizes this application.
San Jose City Business License # S�/
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 /.ID 13&-26— A C
ADDRESS 7,ff6 FbtE-A Lti' Lot No.
USE OF BUILDING 96-5
aeo.ao Signed .��--���-`�.....---- --�--..._----..
1 VVV
7886 Fiesta ace
FIXTURES NO. FEE I MAIN DRAIN
Water Heaters /.00 ISize IMaterial
Water Closets To lFee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To Fee
Itchen Sinks WATER SYSTEM
Piah Washer Size Material
Naste Disposals Water Fixture Fee
Nash Trays HOUSE GA'PIPING
Yushing Machines No. Lines Outlets
Vater Treat. Equip. Size Fee
Sinks FEES
Dental Units Fixture Fees ,od
Drinking Fountains Main Drain Fees
Floor Drains Storm Drain Fees
Hoppers Water Sys. Fee
Sand Traps Gas Piping Fee
Urinals Surve
Area Drains Permit Fee
Nater Leaders -TOTAL FEE i ,dO
Frailer Space INSPECTOR'S REPORT
>wim Pool Gas Piping
ndirect Wastes Approved
)r well B
lockflow Preventer Partial
urvey Approved
B
Rough
TOTAL aV Approved
B
Finish
Approved /- —7
B