100287 (2) 7723 Huntsidge 9'
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
�`-- ---C- ----------. 19� . Permit No-------1 0
Da+e - ---- ... -
The undersigned hereby ekes a plication to the Plumbing Inspector of the City of San Jose
for a permit to install
gplu in a / pe seers. side.
Exemption from re u a al a' ie C tr ors License is hereby claimed
by undersigned: a owner statement filed ❑ 7 ��
Undersigned d affect
that his Staterl o eli ; Conrr ctor License
is in full force end ofiect end pro erl 4 or s this n Crr
San Jose City Business License #
1 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 1/HI?E /V K
ADDRESS 7`7 Z 3 77G v'Tit z G c n/ Lot No.
USE OF BUILDING llf-S / > /
S1k�^280 30 SignedL
✓
.f G -.------- ....----./------------------------------
7723 Huntridge Ace
FIXTURES FIXTURES MAIN DRAIN
Wafer 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
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 ,cu
TOTAL TOTAL
INSPECTOR'S REPORT HOUSE GAS PIPING
sartial No. lines Outlets Size
tough Tested and Approved
:finish I By