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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT OR TRADES PERMIT
_______....fon_180_
Permit No: 9598-E Approval Date : 9/17/91 Expiration Date : 3/17/92
Estimated Cost : 200. 00 Fees : 10. 00 PRF: C. 0:
Owner: Marie Goupille Address : 52 Pequot Road Tel :
Job Location: 52 Pequot road Code : 06
Contractors Phoenix Electric Address : 10 Crown St. , Norwich Tel : 886-9411
Stick Built : x Modular Home : Manufactured Home : Commercial :
Addition: Garage : Car Port : Shed : Remodeling : Roofing:
Siding: Fireplace: Chimney : Windows , Pool : Demolition:
Plumbing: Heating: Electrical : x Air Conditioning : Gas :
Patio : Porch: Deck : New: Repair/Replacement : x
Type of material used/discription: install AC/DC smoke detectors
Size: Type of Heat : Fireplace :
No. of Stories : No. Rooms : Breezeway :
No. Baths : Garage : Use :
I hereby certify that the proposed work will conform to the Basic
Building Code and all other Codes as adopted by the State of Connecticut, and
the Town of Montville.
Applicant' s Signature Date :Date : q- 1-1 -L11
If signed by Contractor, type of l ' cense/registration & No : WIO-161 EF
/ )
Building Official' s Signature : fr. 4/._:/4Date : 14.thj
Date of Health Dept. Approval : A.
Date of Zoning Approval :
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119. 1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
TOWN OF MONTVILLE
Building Department
'ter' Application for a Permimr
Owner: \IVWS,R1E DtAet L.,LE Address: SZ op4udi ( _ Tel:
Job Location:
Contractor: tlhc1J Address: V3 C1ZOW1.) ST. Tel : 0'C-cliff
Stick Built: Modular Home: Manufactured Home: commercial:
Addition: _ Garage: _ Car Port: _ Shed: _ Remodeling: _ Roofing:
Siding: _ Fireplace: _ Chimney: _ Windows: Pool : _ Demolition:
Plumbing: --�
_ Heating: _ Electricals Air Conditioning: _ Gas:
Patio: Porch: Deck: New: Repair/Replacement:
Type of Material to be used/job description: it41 h stAkowel OE'TP t c) Cls
4G//p c_ E2Cc1 N l�f
Size: Type of Heat: Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use: