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Slate Work 1978
TOWN OF MONTVILLE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Permit No. 4q1'...5-7 Date 6' 2,9 l7AP Estimated Cost ',L ©0 0. 0 0 Fee A/ Owner /=i�.4;.--4,,,LJ� Address /)172 Tele. Contractor � Address / m Tele. Location of Building P TA? Zone No. Additions & Alterations (Incluuding moving, demolition, sign erection) ZO New Building - Type of Construction Size Type of Heat Fireplace No. of Stories No. Rooms Breezet;..y.„6.6„\ No. Baths Garage Use I hereby certify that the proposed construction will conform to theapplicable 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. Signe, / /4/ Approved Date J/ /7, Building Inspector 1,,L7 Inspections For: Footings Framing Rough Wiring Electric Service Rough Heating Fireplaces Other Misc. sinal Inspection for C.O. kpproved Rejected Signed