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29420 (2) 1497 JAMES TOWN DR. Building Permit Confirmed ❑ Not Required �� CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBINGqa nd/or GAS PIPING PERMIT / 3 Date------(L1--..... �-- ------- ----------- 19.. 'Permit No-----. .�...7/1.. The undersigned hereby make application to the Plembi ig Insp r of the City of San Jose for a permit }o install plum bin i r s I' e opJ tYerse side. Exemption from req uireme o o Ifo i fo o it ors License is hereby claimed by undersigned: as ow r ❑ statement filed [�'s Undersigned attests that his State C�fyfornia nfr f is pL is in full force and affect and properly/gdlJfpr}xes hh' p �J,— San Jose City Business License # (/ I certify that in the performance of He worn far which this permit is issued I shall not employ any person in any mann so as to viola}e the workmen's compensation laws of California. OWNER ADDRESS Lot No. USE OF BUILDING Signed --- - - ---- ----- -- - -- 1! �----2dr?�O, 280-4o1n 1497 JAMES TOWN DR. ACE FIXTURES NO. FEE MAIN DRAIN Water Heaters p7j Size Material Water Closets To Fee Bath Tubs RAIN WATER DRAINAGE Showers Size Material Lavatories To Fee Kitchen Sinks WATER SYSTEM Dish Washer Size Material Waste Disposals lWater Fixture Fee Wash Trays HOUSE GAS PIPING Washing Machines No. Lines Outlets Water Treat. Equip. Size IFee Sinks FEES Dental Units Fixture Fees Qy Drinking Fountains Main Drain Fees Floor Drains Storm Drain Fees Hoppers Water S s. Fee Sand Traps - Gas Piping Fee Urinals Survey 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 Survey Approved B Rough TOTAL I Approved B Finish A roved B /. ,21