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30619 (2) 7766 HUNTRIDGE LN Building Permit Confirmed ❑ Not Required 13 � CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date---------P.-�aZ---------_ 19),2 Permit No._G3.0...6.1.?.------------ The undersigned hereb ekes a 1' 1i u nspector of the City of San Jose for a permit to ins}all p� a therac reverse side. Exemption from requuam n or State of Celifornie for Contractor's License is hereby claimed by undersigned: as owner ❑ statement filed Undersigned attests that his Stat �`�.�r'.'�P'rni l is in full force and affect and prop ufses h s app afdn.V/ San Jose City Business License #' �z L,� I certify that in the performance of the Work for which this permit is issued I shall not employ any person in any m nner so-as to violate the workmen's compensation laws of California. V OWNER / 19 ADDRESS (!� Lot-No. USE OF BUILDING ,42� 19 Signed .�(y.<L.�t�L.�,., �0 o -%..� o2l�J ?! Oln 7766 HUNTRTDC,F I N AC PI L1MR_:-�-� FIXTURES N0. FEEI MAIN DRAIN Water Heaters Size Material Water Closets To IFee Bath Tubs RAIN WATER DRAINAGE Showers SizeMaterial Lavatories To tFee Itchen Sinks WATER SYSTEM Qmsh Washer Size Material Waste Disposals lWater Fixture Fee Wash Trays HOUSE GAS PIPING Washing Machines No. Lines Outlets Water Treat. Equip. Size Fee Sinks FEES Dental Units Fixture Fees Drinking Fountains Main Drain Fees Floor Drains Storm Drain Fees Hoppers Water 5 s. Fee Sand Traps Gas Piping Fee Urinals Survey1 Area Drains Permit Fee Water Leaders TOTAL FEE Trailer Space INSPECTOR'S REPORT Swim Pool Gas Piping Indirect Wastes Approved Dr well B Backflow Preventer Partial iurvey Approved B Rough TOTAL .0 Approved B Vis, st1 t Finish A roved B