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8706 1497 James Town Dr. Building Permit Confirmed ❑ Not Required ❑ CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT �J� / Date-�'/�. --- --�`'3--------"--- 19 7�Permrt No. ... ...70.(o.-......---- The .nderti ned horeb mwowe;§ h e�bJ'/Pov�r(���fy�(v�pctor of the City of San Jose for a permit to insfrom r pli or Contractor's si is License side. Exemption from req ' nCalifo nia for Con4rac}or's Liconsa is hereby claimed by undersigned: "/� /�"' /statement filed.Undersigned attests the} his State oligsya Co�nrFergrsis in full force end effect and properly le rifai this ti n. San Jose City Business License # 6 yy 0 V& 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 ass to violate the workmen', compensation laws of California. OWNER /_!_��T Lot No. ADDRESS /y9% «� iC � A`�tc.l� � USE OF BUILDING r/��I�C�L <iJ/x•� �� G /J�P 280 10 t Signed-- 1497 James Town Dr Vals FIXTURES NO. FEE MAIN DRAIN Water Heaters Size Imaterial Water Closets To iFee Bath Tubs RAIN WATER DRAINAGE Showers Size Material Lavatories To Fee Kitchen Sinks WATER SYSTEM D'sh Washer Size Material Waste Disposals IWater Fixture Fee Nash Trays HOUSE GAS PIPING Noshing Machines No. Lines / Outlets Nater Treat. Equip. / Size Fee Sinks FEES Dental Units Fixture Fees / ca Drinking Fountains Main Drain Fees Floor Drains Storm Drain Fees Hoppers Water S s. Fee Sand Traps Gas Piping Fee yo Urinals Survey Area Drains Permit Fee - w Water Leaders TOTAL FEE Trailer Space INSPECTOR'S REPORT Swim Pool Gas PI In Indirect Wastes Approved — Jr well IBV 3ackflow Preventer / Partial iurvey Approved B Rough TOTAL Approved B Finish A rove B