24882 (2) 940 Hyde Ave. J
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
_-- --` -�-...... 19(,�f.-- Permit No.------- - ----------------.--........
Tho and ersignvd hereby makes lira tion to } e PI bing Inspp for o e City of San Jose
for a permit io insfall plumbing xf e o s d s' a de.
Examp+ion from requiremen r fa o C is r o c} cense is hereby claimed
Ky undersigned: as own ❑ statement filed ❑ p
Undersigned attests that his State of C rnia Contractor's License # 2.37 tl
is in full force and effect and #lyy a z appli io � ,
San Jose City Business Licensense � (0I certify that in the performance of tha ork 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 Cit11M13AS A
ADDRESS CYO ////HYDE A V Lot No.
USE OF BUILDING 60
280 30 Aug. 69 Signed laf Z °h.` -.F--- �F-- -- ------------
940 Hvde Ave. Ace PLu"mbing Service
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Water Closets Hoppers I 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 ),c p
Washing Machines Drywell Main Drain Fee
Water Treat. Equip. Backflow Preventer Storm Drain Fee
Sinks Survey Waler Sys. Fee
Dental Units as Piping Fee
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial ^ No. Lines Outlets Size
Rough Tested and Approved
Finish By