98548 (2) 7411 Rainbow
Building Permit Confirmed ❑
Not Required - ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS
PIPING
(jPERMIT
Date-----JVG-r-------�-------------------- 19_7?!Perrrlif No\...(.:f1.. .1...15..._.....-
The undersigned hereby'm s e plication. 0 4ha Plum 'np In,/ppof the City of San Jose
for a permit to install plumb' g r a / s I ado se side. s ,
E.empfion from require o of i to on ac License is hereby claimed
by undersigned: as ner ❑ 1 . statement filed ❑
Undersigned attests that his State
perl of Califor�Confractor's0
is in full force and affect and properly'e u} or is app'/��..roq
San Jose City Business License'# ,
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 �j i !✓7�DA� C�.�59 Gd
ADDRESS 70 Lot No.
USE OF BUILDING 4/�T
Signed
280 30 Fi✓7�4`''G.. fC�e"nn-t-rVall
G�---- ,C..-U---
.....
7411 Rainbow ..
Service
FIXTURES FIXTURES MAIN DRAIN
Water Heaters - Floor Drains Size Material
Wafer Closets Hoppers To 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 Sl�zel Material
Waste Disposals Swim Pool 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 TOTAL FEE
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines . Outlets Size
Rough Tested and Approved.
Finish By