92680 (2) 7557 Lockford Court
Building Permit Confirmed
a
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBIN�fG/ and/di GAS PIPING PERMIT
Da#e-----:(?..-- -/ ------------------------- 19/.1.. Permit No.:......�.fF. Pf....O...........
The undersigned herebek s �iye4i 1 ing a for of the City of Sen Jose
for a permit to install m or State
(/ �� a ovarse side.
Exemption from re roma or State of CaPfornia for Contractor's License is hereby claimed
by and ersig nad: es owner stet en /7
Undersigned attests that his Sfefa o a �a C
is in full force and effect and properl i z Phis nim,
Y 7�
San Jose City Business License # �'
I certify 4ha} in the performance of the work for which this permit is issued I shall not employ
any person in any mannrsso to violate the workmen's compensation laws of California.
OWNER
ADDRESS � �0�/f �o/r'� Lot No.
USE OF BUILDING2DO 30 C�
Signed.. - -- - ------------------.
7557 Lockford Court VY ite & .tons
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Siz j;jMaterial-
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 EES
Wash Trays Indirect Wasteslcr
e, O
Washing Machines Drywell in Fee
Water Treat. Equip. Backflow Preventerin Fee
Sinks Survey s. Fee ' 60
Dental Units g Fee
Drinking Fountains e a, D�TOTAL OTAL FEE o E)
INSPECTOR'S REPORT HOUSE GAS PIPING .
Partial _ No. Lines utle Size
Roughf Tested ands A ve
Finish By