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82330 (2) 7437 Prospect Rd . Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date-----------7" g 03 30 --- ,i Z.--.... 19-�0.9 Permit No....----------------------��-------------- The undersigned h�erab . rgak sftp�llcayion + th Plu bigg Inspector of the City of San Jose {ora permit to install lu b(n f flires� d'/ r pipe,voi (ori the re.erse side. Exemption from req mreme for S+elle of California for Contractor's License is hereby claimed by undersigned. as owner ❑ statement filed El Undersigned attests that his State of California e,Eontracfolgl-ige,� is in full force and effect and properly euthorixEs� 1�appGufion/V San Jose City Business License # I certify that in the performance of the work for which this permit is issuedI shall not employ any person in any manner so to viola+o the workmen's compensation laws of California. OWNERS iG To.— ADDRESS /�2vS�c c Cho 9 USE OF BUILDING-T Sign L01 NUG . - zeo•ao to-ee ed -. � r�}�-- ------------7437 Prospect Rd. Lifetime PooLs- FIXTURES FIXTURES MAIN DRAIN Water Heaters / Floor Drains Size Material Water Closets Hoppers To 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 Washing Machines Drywell Main Drain Fee Water Treat. Equip. Backflow Preventer Storm Drain Fee Sinks Survey Water Sys. Fee Dental Units Gas Piping Fee Drinking Fountains Survey Permit Fee Z, TOTAL TOTAL FEE INSPECTOR'S REPORT HOUSE GAS PIPINGet Partial _ .� No. Lines Outlets Rough / Siz(( Tested and App ved Finish By