860411324 Flower Court
9 Building Permit Confirmed ❑
Not Required [¢—�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GASPIPINGPERMIT
7' O�U
Date ---------------------...J...--.v+"".-----. 19..L -Permit No. ..------...-_.....�.
The undersigned hereby prate c' n/ 1 l Ins ctor of the City of San Jose
for a permit to install plumbing a es an or pip s listed on + e reverse side.
Exemption from requirement fo Sfeto of C^lifornia foj., Contraclo' Li ens is hereby claimed
by undersigned: as owne %; t- i / L�
Undersigned a#felts that his S}ale Ifornia C n racfoors Lice a 6' 2� / y
is in full force and effect and properly authorizes this appica}ion.
San Jose City Business License # � `�6 ��
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 A'l
ADDRESS
USE OF BUILDING
280-30 --------------
1324
r. 1324 Flower Court Shannon
FIXTURES
FIXTURES
MAIN DRAIN
Water Heaters
j Floor Drains
Size
Material
Water Cloets
Hsoppers
To
To Septic Tank
Bath Tubs
Sand Traps
RAIN WATER DRAINAGE
Showers
Urinals
Size
Material
lavatories
Area Drains
To Curb
I 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
)ental Units
Gas Piping Fee
Drinking Fountains
Survey
Permit Fee
TOTAL
TOTAL FEE
INSPECTOR'S REPORT
HOUSE GAS PIPING
'artial
No. Lines Outlets Size
tough
Tested and Approved