84599 7887 Fiesta Lane q
Building Permit Confirmed ❑
Not Required rr—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
4 �Qq
Date----------------------- ...'"....7 ...... 19�?.9.. Permit No._........ ._�../.I
The and arsignad hereb m e t' m Inspector of the City of San Jose
for a permit to install pl u s / r7pi?d Ifst on the reverse side.
Exemption from requirement r State of alifornia for C9gtr c or's Licfos hereby claimed
by undersigned: as owner
Undersigned attests that his State of C rac
ern C.nt #or's License #' 2'37 i'O�
is in full force and effect and properly authorizes this application.
San Jose City Business License tk 11/ e lef ;l
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 600/Z L6�'y / 0, c
ADDRESS 7887 63L5T4 N' Lot No.
USE OF BUILDING 2zn
180-30 Aug. 69 SignedG z..U. '------- .C..
7887 Fiesta Lane Ace Plumbing Service
FIXTURES FIXTURES _ - MAIN DRAIN
Wafer Heaters j Floor Drains + .Size Material
Wafer Closets Hoppers I To I'To Septic Tank
Bath Tubs Sand Traps RAINWATER DRAINAGE
Showers Urinals Size Material
Lavatories Area Drains To Curb To Main Sewer
Kitchen Sinks Water Leaders WATER SYSTEM
Dish Washers Trailer Space Size Maferial
Waste Disposals Salim Pool FEES
Wash Trays Indirect Wastes Fixture Fee A00
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 TOTAL FEE ,'3 p[)
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines Outlets Size
Rough Tested and Approved
Finish - By