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TOWN OF MONTVILLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. 3 W y Date ��,_;v2
Estimated Co t 3-0 .2.,
v F e .�
s - ' '-7 .,
t Aad d '' . J.,Owner � '-ss � /,f, ,Y_ ele.
Contractor �' � .� ,, £• . `'ass Tele.
Location of Buildingy _4-e.-6-)4,a'2,4-"eZone No.
Additions & Altions (Including mo , ng, demolition, sign erection)
/-7
12 -.›-C )
,e,-71f,e-4- ,' .. /---
New Building - Type of Construction
Size Type of Heat Fireplace
No. of Stories No. Rooms Breezeway
No. Baths Garage Use
I hereby certify that the proposed construction will conform to the applicable zoning reg-
ulations of the Town of Montville and the Basic Building Code of the State of Connecticut ,
and that all statements herein contained are true and correct.
Signed 41 ✓i. c6'"cr" 4/ '..Y/:6 .AApproved; % /� .,
Date /2 /-079 Building Inspector
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed