87323 (2) 1655 Sunnyvale-Saratoga „
\ BuildingPermit Confirmed
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS
GPIPING. PERMIT
Date------� ........................................... 191..0 Permit No.----{}--//'.✓.- - ---------------
The undersigned hereby m a plical' s { }h lamb' g Inzpe 40 of the City of San Jose
for a permit }o install plum n n li dC'fol aNc%' ze side.
Exemption from requirement for ate o ifornra for ono rs License is hereby claimed
by undersigned: as wner ❑ statement filed ❑
Undersigned attests that his State of California Cont tars License ###
is in full force and effect and properly aufhorixes this ap i
San Jose City Business License #' /'// ✓zi�'��
I certify that in the performance of the work for which this permit is issued 1 shall of employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER_�&/LG�)3 jqg Rt-
ADDRESS �/ S �NN�VAIF-_�"47_06a tl Lot No.
USE OF BUILDING�H� y
28030 Aug. 69 Signed _'5u//... .1� - --�Nfi1.�f.�Ta�L
1655 Sunnyvale-Saratoga Sun Alto Sheet Metal
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Wafer 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 Iswirn Pool FEES
Wash Trays TDrywell
rect Wastes PTOTAL
e ,
Washing Machines n FeeWafer Treat. Equip. flow Prevenfer in FeeSinks ey . Fee -
Dental Units Fee
Drinking Fountains
o7,0 Z
TOTAL TAL FEE
INSPECTOR'S REPORTHOUSE GAS PIPING
Partial No. lines Ou fs Size
Rough Tested and Ap
Finish - Y O (1y p ,w. By