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TOWN OF MO,N-TV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. / x'.5.,3 Date 6 ,2 /7~:3
Estimated Cost Fee ~ '00
Ownerddress Tele. ~~-d'✓~
Contractor lla~ Address ~1~a Tele.
Location of Building cp ~ Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
New Building - Type of Construction
Size Type of Heat Fireplace
No. of Stories No. Rooms Breezeway
No. Baths Garage Use~rrn~h.
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.
4-0
Signe Approved
Date Building Inspector
-----------------mac
-
Inspections For:
Footings lv 2'_'' /0 J ® '09. M -
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed
DID)
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Date:
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14 6'01Y
14, 'V
ZONING & PLANNING
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4pPROVED
PPROVrD AS NO'TFl~
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IT IS UNDERSTOOD THAT'ALTH UGH THESE B / ZONING OFFIC
p t4S ARE APPROVED BY THE ONTVILIE
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INFEQS THAT Ta C.'mi ECTICUT
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BUILDIRG CODES ARE MET. IT IS AGREED
TI-IIS IS THE RESPJ;'~Sti~tlt Pl OF THE OWN R
SIGNED '
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