14044 (2) a Building Permit Confirmed ❑
INot Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date AP ------------ - --------. 191 S. Permit No.--/Y�i-- -
----------------- -------
....
The undersigned hereby#e. roSt.t7.f
li t'p ly P m ' Inspector of the City of San Jose
for a permit to install plu or ip s n the reverse side.
Exemption from raqu aC lif r is for Contractor's License hereby claimed
by undersigned: wer ❑ statement filed I]
Undersigned attests that his Stateep/,g ifornia
is in full force and effect and properllfjf
San Jose City Business License #'�
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 JR(nEf) Vl-) ALC 2- AK
ADDRESS g F f y^ N N LSPO R-T 'D R.Lot No. +c�t
USE OF BUILDING
280 30 Signed./4 ( fl L........._. . _ . -_5...
/ -V„n ,
8147 hvannisnort admiral
FIXTURES NO. FEE MAIN DRAIN
Nater Heaters k Size IMaterial
Nater Closets To I Fee
Bath Tubs RAIN WATER DRAINAGE
Showers Size Material
Lavatories To Fee
Kitchen Sinks WATER SYSTEM
Wg5her Size IMaterial
Vaste Disposals Water Fixture Fee
Vash Trays HOUSE GASP[PING
Vashing Machines No. Lines[F-�< Outlets 1
Vater Treat. Equip. Size Fee
Sinks FEES
)ental Units Fixture Fees
)rinking Fountains Main Drain Fees "
=Ioor Drains Storm Drain Fees
'toppers Water S s. Fee
Sand Traps Gas Piping Fee -
Urinals Surve
Area Drains Permit Fee
Nater LeadersTOAL EE
frailer 5 ace INSPECTOR'S REPORT
>wim Pool I Gas Piping
ndirect Wastes Ap roved —3;�::
)r well B
lackflow Preventer t Partial
urvey Approved S'
B
Rough
TOTAL Approved
B
Finish
A roved 7—
B