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TOWN OF MONTVILLE
�U
BUILDING DEPARTMENT U
APPLICATION FOR BUILDING PERMIT
Permit No. Date (3/40-7
Estimated Cost ; - M 0 _CD Fee >a
rt/
Owner ,!.vyr,,,„� 3 (; c -)�v� Address I Q �c-c T.-(=. Tele.
Contra ea= Address'- ((,,,.C_ Tele. ,V6-( 6 ?
vo l vw tz).,...v� /
Location of Building /p 777 /7�crT-e___ Zone No.
Additions b Alterations (Including moving, demoli ion,_ sign erection)
z.e,:i.,,i _..e 0--a
New Buildi�- Type of Construction
Size 2l/X,� Cf /1;30?7 1pe-of Heat 74,-/4",42 Q:); Fireplace /
No. of Stories oZ No. Rooms Breezeway
No. Bathsc9 �y
Garage ,3 r,97--a._ Use -mss
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.
/1
SignedA---- Approved 3/ '7
Date
1; 318'7 Building Inspector a44 ��,;/
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
•
Final Inspection for C.O.
Approved Rejected Signed