86466 922 Liberty 'Court Pool
Building Permit Confirmed ❑
Not Required ❑
E
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS�fPIPING PERMIT
Date/ZPPLIC...�.`.'.--ri---.- -------------- 19 -d Permit N--------0... _ -�'-- -----------
t
The undersigned here s p' a ' to the flu the re or of the City o4 $an Jose
for a permit to i"fall u ' o i i n the reverse side.
Exemption from requuemen or Sta e o eh ornia for Contractor's License is hereby claimed
by undersigned: as owner $taiemen+ filed
Undersigned attests that his State o4 a o Contra 's i
is in full force and effect and properly au s his op
San Jose City Business License #—
I certify that in the performance of the work for which this permit is issued 1 shall not employ
any person in any anner so as to violate the workmen's compensation laws of California.
OWNER �T 2�L• 1G�/i�ivflC
ADDRESS f?2 �D� / r Lot No.
USE OF 8UILDINCP-0--;!!W
280.30 Aug. 69 SI[]r1eO✓VL�. ��-. —�i/f�����h=- - -___.
922 Liberty Court Sunkist Pools
FIXTURES FIXTURES MAIN DRAIN
Water Heaters Floor Drains Size Material
Wafer Closets Hoppers To I 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 Swim Pool FEES
Wash Trays IndirectWastes Fixture Fee
Washing Machines Drywell Main Drain Fee
Wafer Treat. Equip, Backflow Preventer Storm Drain Fee
Sinks Survey Water Sys. Fee
Dental Units Gas Piping Fee
Drinking Fountains Survey
Permit Fee
TOTAL TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
PaA'al p No. Lines Outlets Size
Rough ( Tested and Appr d
Finish Zd -7p By