79602 (2) 7752 Robindell tray
Building Permit Confirmed ❑
- Not Required L7.—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING and/or GAS PIPING PERMIT
i 7X(,o-2
Dafe_J/� _�Q._................ IR!'/.,.. Permit 7X(,o-2,
L .........
The undersigned hereby mak plicaf'on to the Plumbing In;pecfor of the City of San Jose
for a permit to install plumbin f- ur i to n th r s side.
Exemption from requireme f rn C i(a icenso is hereby claimed
by undersigned: as ow r ❑ statement filed
Undersigned attests that his State of Calif 'a onfractor's License
is in full force and effect and properly au
thopylic �
San Jose Cify Business License
I certify that in the performance of the work for which his permit is issuy4l shall not employ
any person in any maa so as to Violate the orkmen's compensation laws of California.
OWNER / �Gl�/�/JO��
ADDRESS _7 2 L;E'
USE OF BUILDING
zee-ao w-ee Signed....(�� :�CC�/..` ...... -1/---- 7f...0
7752 Robindell wav Hee
FIXTURES FIXTURES MAIN DRAIN
Waster Heaters Floor Drains Size Material
Wafer Closets Hoppers 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. Indirect Wastes Fixture Fee O O
Washing Machines &Drywel Main Drain Fee
Water Treat. Equip. enter Storm Drain Fee
Sinks Water Sys. FeeDental Units . Gas Piping Fee
Drinking FountainsSurvey
Permit Fee O.4
TOTAL TOTAL FEE pd
INSPECTOR'S REPORT HOUSE GAS PIPING
Partial No. Lines Outlets Size
Rough Tested and Approved
Finish By