NO PERMIT NUMBER 1127 Kentwood ,
Building Permit Confirmed ❑
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
Date71 ------------------ - ermit No.--------------------- ---------......_--------
The undersigned .hereby a io f I in ctor of'the City of San Jose
for a permit to instell plu i r r e li reverse side.
Exemption from requirement State of ali ornie for Con recf ense is hereb claim
by undersigned: as o state
7.
Undersigned attests that•his Stat 'ern' ice s
is in full force and affect and prop o s t '
San Jose City Business License v
I certify that in the performance of the work for which this permit is issued I shall not employ '
any person ' nner so as to violate the workmen's mpensation laws of California.
OWN
N
ADD
a
USE OF BUILDING
i n
.... _.. .......
112'7 Kentwood
nt ony Pool
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 UrinalsSize
+' Material i
Lavatories Area Drains To Curb To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space + Size F Material
Waste Disposals Swim Pool I FEES
Wash Trays - Indirect Wastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Water Treat. Equip. Backflow Preventer Storm Drain "Fee .
Sinks Survey Wafer Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains Survey. _
Permit Fee
TOTAL TAL FEE
INSPECTOR'S REPORT EGA PIPING
Pallial
Rough 71- y / i No. L O tl s Si e r
Tested and""Approved 7
Finish B