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275 Gal. Replacement Tank 1995
+S, TOWN OF MONTVILLE 4 /0 / CiptAliA/ Building Department TA . 848-7166 APPROVED BUILDING PERMIT OR TRADES PERMIT For 180 Days Permit No: 12375-H Approval Date: 8/11/95 Expiration Date: 2/11/96 Estimated Cost: 500 .00 Fees: 10 .00 PRF: C .O: Owner : Vinny Walker Address: 50 Maple Avenue Tel : Job Location: 53 Pequot Road Code: 06 Contractor : Mark Lewis Address: 145 Gay Hill Road Tel : 848-8671 Stick Built: Modular Home: Manufactured Home: Commercial : Addition: Garage: Car Port: Shed: Remodeling: Roofing: Siding: Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: Heating: x Electrical : Air Conditioning: Gas: Patio: Porch: Deck: Retaining Wall : New: Repair/Replacement: x Type of material used/discription: remove existing 275 gal tank and replace with used 275 gal fuel tank 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: %f7 ,,7 ,e,z.":.,7 -¢$_/7 - ,j— If signed by Contractor , type of license/registration & No: /0)/4/9— / r' Building Official 's Signature: /�.."-„f , . 4 Al re „ �j a _te ,�r r 401 e'"--/1 --5+';_1-- 4 Date of Health Dept . Approval : 4/� Date of Zoning Approval : � fj/ THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE BUILDING CODE, SECTION 119.3 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO ANY USE OF THE STRUCTURE . --- A MINIMUM OF 24 HOUR NOTICE TO THE BUILDING DEPARTMENT IS REQUIRED FOR INSPECTIONS, yam,; TOWN OF MONTV I LLE Building Department NNW Application for a Permit Owner: v� � A `� '"' 4 //r z ^ Address: j " '47,/''%r Job Location: 3 < Tel : Contractor: k � r Address: LYF 6A y. //, //2 Tel : d'd6 Stick Built: ireL Modular Home: Manufactured Home: Commercial : Addition: Garage: ----- g Car Port: Shed: Remodeling: Roofing: Siding: ,_ Fireplace: Chimney: Windows: Pool : Demolition: Plumbing: _ Heating: CJ Electrical : Air Conditioning: _ Gas: Patio: _ Porch: _ Deck: _ Retaining Wall : _ New: _ Repair/Replacement: Type of Material/job description: r i . . ( / Tc 'e>. /" 'C e ) Size: � ` Type of Heat : Fireplace: No. of Stories: No. Rooms : Breezeway: No. Baths: Garage: Use: • UNCASVILLE, CT C=HH-i o N : 843-u 64.7 CT. LIC. 303676 NAME ORDER RECD ADD. ..,i'JC. a.).al I{i--1 /` DATE SERVICED <.? /JCS Vi a.{ /- CITY i, INVOICE TO: BLRNER MAKE/MODEL TROUBLE / REPORTED:./.' TIME DISPATCHED ARRIVED FINISHED TOTAL TIME A.M. A.M. A.M. P.M. P.M. P.M. HRS. x w ❑Cleaned Furnace 0-Cleaned Flues Q-Checked Draft O o Q.Cteaned Boiler QChanged Nozzle ❑.Adjusted Flame p 0-Cleaned Burner ET oiled Motors ©eiiedced Operation O"Checked Controls ❑ Oiled Blower ❑ PARTS and MATERIALS: j . � I THIS IS OUR PAY THIS NYAMOUNT ----. • CUSTOMER'S SIGNATURE I SE RV ICEMAN • 41 X • a ' • • •