94772 (2) 8084 Park Villa Circle
Building Permit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
' Date----------/0----a-------------------- 19- Permit No......--- �-!--- -----....
//�� --
The undersigned�he4by/�ak s)appliee2n }o7Mhh'e�Pl.mbing�Inspec}or of the City of San Jose
for a permit to insfell�plumb��fitfures a sddoNpiplisfed on the reverse side.
Exemption from requirement for Stale of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ r �}L tai }ofile�ee F/
Undersigned attests that his State of California Confredtops�lscensel#
is in full force and effect and properly a�hori }}i�ae'pplica}ion.
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 �✓jj�Sn(Jj7/�
ADDRESS 908 47 Lot No. ao
USE OF BUILDING /
AMAITAL PLUMBING, INC
280.30 Sign --------------------- ---------....
8084 Park Villa Circle Amaral Plumbinq
FIXTURES FIXTURES MAIN DRAIN
Wafer Heaters Floor Drains Size " Material
Water Closets Hoppers ToP/—L_ To SeRKc Tank
Bath Tubs Sand Traps RAIN WATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains ITo Curb To Main Sewer
Kitchen Sinks / Water Leaders WATER SYSTE
Dish Washers ,U Trailer Space Size IMateria
Waste Disposals Swim Pool FEES
Wash Trays Indirect Wastes Fixture Fee QQ
Washing Machines Drywall Main Drain Fee -eo
Water Treat. Equip. Backflow Prevenfer Storm Drain Fee
Sinks Survey Water Sys. Fee
)ental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee -6Q
TOTAL TOTAL FEE s�Q
INSPECTOR'S REPORT HOUSE GAS PIPING
'artial - �/ < U �� No. Lines Outlets Size /�
tough �.3- 7Z �l Tested and Approved -�„$-- y
m
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