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TOWN 0F'M0NTVILLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No.Date s° 11-3 Estimated Cost /7 ~ -0 Fee
-z
Owner /Address Tele.
Contractor Address-G Tele.
Location of Build' g Zone No.
Additions & Alterations (Including movin demolition, sign erection)
New Building - Type of onstruction
Size Type of He /Fe ce
No. of Stories No. Roo ay
No. Baths Garag I hereby certif that the propos d construction will conform to cable zoning reg-
ulations of th Town of Montvil a and the Basic Building Code ote of Connecticut ,
and that all tatements herein ontained are true and correct.
Signed Approved /7
Date Building Inspecto
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed