7333 1195 Gardenside Ln
Building Permit Confirmed ❑
Not Required 5(
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIOrN FOR PLUMBING and/or GAS PIPING PERMIT
Date-----Z---`-- .✓---------------.....---- 197..`x:' Permit No..---------/-`3 ....----------
Tha undersigned hereby eke p lication o th Prl�m��Inspector of the City of San Jose
for a permit to install re re p' s urum i9r1 the reverse side.
Exemption from requir a at if ria or onfractor's License is hereby claimed
by undersigned: a owner ❑ sfatemenf filed Q]
Undersigned attests that his fate of if nia Con actor's License .# 2.5,eQ ]0
is in full force and effect and properly au o this aiio ��
San Jose City Business License
1 certify that in the performance of the work for which this permit is sued I shall not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER /'1R FCA y6 eh'
ADDRESS // Y,5 CA R O r t, C iO e L Al Lot No.
USE OF BUILDING A-1-fA
'ID6 ��NZ/L ��8�0. Signed / ��I �
260-30
11qS Cnrdenf;;_de Deanza Plumbing
FIXTURES NO. FEE MAIN DRAIN
Nater Heaters I Size IMaterial
Nater Closets I To IFee
Bath Tubs RAIN WATER DRAINAGE
Showers SizeMaterial
_avatories I To lFee
(itchen Sinks WATER SYSTEM
)ish Washer Size Material
Vaste Disposals I Water Fixture Fee
Vash Trays HOUSE GAS PI PING
Vashing Machines No. Lines Outlets
Vater Treat. Equip. Size Fee
Sinks FEES
)ental Units Fixture Fees
)rinkinq Fountains Main Drain Fees
'loor Drains Storm Drain Fees
coppers Water S s. Fee
Sand Traps Gas Piping Fee
Urinals $urve , 00
Area Drai s" Permit Fee
Nater Leader TOTAL FEE
frailer Space INSPECTOR'S REPORT
iwim Pool Gas Piping
ndirect Wastes Ap ved
)r well B
lackflow Preventer Partial
urvey Approved
B
Rough
TOTAL Approved
B
Finish
Approved
B