43417969 61� Tbwh dE—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No ...... 3.4�of No ... ......
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Date.................-..—..V...I...Permit No ...................... ....
AP�lication is hereby made for as permit to -----^kKk.-k—a ....................................... ....
.......
a.............sfoy.
Type----- . I tu:?�--------------------------------- Building
at ...... ....... Use Zone------------- -----------
q cegancy ........... ......... .
to be occupied only as eC , .
Parkipg pace ------
llot-plan fileArewifh.
in accordance with Plans, Spelcifications and A
Estimated Value of improvements. $ ---- La, -.5 ......
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
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.
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03 Old Town Ct. L. W. Browne
RECORD OF INSPECTION
Foundation..2--��c---CP- --Frame .............'-
..............•--•--•...............
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Form 230-1—IOM—I2-63, .