97227 7603 Newcastle Dr .. — �
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Building Permit Confirmed ❑
� � Nof Raquired ❑
I CITY OF SAN JOSE ��.ji.v BUILDING DEPARTMENT
APPLICA710N FOR PLUMBING and/or GAS PIPING PFRMIT �
Date------..:-----��`C--- -'----`--.. 19�,�,`.. Perm'h No.---_7___-L...�./..L..�---"---•-----
The undersigned hereby,�makes epplica}ion fo,+he Plumbing Inspecfor of�}he Cify of Sen Jose
7or e permif fo install pluj�bing/f� uro,s�,nd or �pe� lizfa�d yon'ihe raverse side.
Emmplion irom reqaire eM�f�S�bfe��GSUfornie�+t�Gen4racfor's Licenze is hereby claimed
by undersigned: as owner � sfafement iiled ❑
Undenigned aMesf: fha} his Sfe4e of Califarnia Confroc}or's License # L37 �O�
is in full force and effeci end.proporly eu}hori:es {his a Hcatio�.
' $en Joae Cify Business License # �Z ���./✓�p�� � "
I ceNify'ihe} in fhe performence of !he work for which ihis permi4 is��ssuod I shall noT amploy
eny parson in eny menner so e� lo v�ofehe }he workmen's compensa}�on laws of Calilornia.
OWNER /'7 �r 2 PHY, �T<�
ADDRESS 7C � 3 it/t-ti�q src F .�R Lo+ No.
i USE OF BUILDING '�=`O � �
zeo.ao Signed .�u.0���.�xs�(.... . �� .
% (,�
7603 Newcastle Dr Ace Plbg
r
� FIXTURES FIXTURES MAIN DRAIN .
Wafer Neaters Floor Drains Size Material
Wafer Closefs Hoppers � To � To Septic Tank
Bath Tubs Snnd Trops RAIN WATER DRAINAGE'
Showers Urinals Size " Maferial
Lavafories Area Drains To Curb To Main Sewer '
Kitchen Sinks Wafer Leaders. WATER SYSTEM
Dish Washers Trailer Space � Size � Maferial
Waste Disposals Swim Pool � FEES�
Wash irays ' Indirect Wasfes Fixture Fee rdo
Washing Machines Drywell Main Drain Fee �
Wafer Treaf. Equip. Backilow Prevenfer Sform Drain Fea
Sinks Survay Water Sys.�Fee
Dental Uni1s � Gas piping Fee .
Drinking Founfains Survey �
Pe�mif Fee L �oU
TOTAL TOTAL FEE �..da
INSPECiOR'S REPORT HOUSE GAS PIPING �
Partial No. lines Outlefs Size
Rough � Tested and Approved
Finish ,�' 3—'lL - / / By