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33520 (3) 7609 PROSPECT AVENUE Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT Date....._..------" Y.-..... -----"- .... 19.2&-. Perrpi+ No.:.... .. ..w- ......... The undersignad har a ', pactor of 4ha City of San.Jase fora permit to install i ha revena side. Exemption from requirem T for State of Cali ornie far Contractor's License is hereby claimed by undersigned: as owner statement filed ❑ Undersigned attests than his Sp ➢of is in full force anddafiaeT and ro er erl 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 workman's compensation laws of California. —7— OWNER -7EcFAJtJ7-0S ADDRESS 260� AVt Lot No USE OF BUILDING / Signed...... --' `` n. ............................... 1ia/r'/l,'a.sn's x v�t r�sr.,'r CC ('Or d-u To'v) 280-401n EN . 7609 PROSPECT AVENUE WILLIAM'S ENTERPRISES FIXTURES NO FEE MAIN DRAIN Water Heaters Size Material Water Closets To Fee Bath Tubs RAIN WATER DRAINAGE Showers Size ' Material Lavatories To Fee KitchenSinks WATER SYSTEM Dish Washer SizeMaterial Waste Disposals Water Fixture Fee Wash Trays HOUSE GAS PIPING Washing Machines - No. Lines Outlets Water Treat. Equip. Size IFee Sinks FEES Dental Units Fixture Fees P80 Drinking Fountains Main Drain Fees Floor Drains I Storm Drain Fees Hoppers I Water Sys. Fee Sand Traps Gas Piping Fee Urinals Survey ' Area Drains - Permit Fee a.pc7 Water Leaders TOTAL FEE I D° Trailer Space INSPECTOR'S REPORT Swim Pool Gas Piping Indirect Wastes Approved Drywall I B Backflow Preventer Partial Survey - Approved • B Rough TOTAL Approved B Finish A roved —1 B