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w T 0 W N OF M 0 N T V I L L t
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. Sb23I Date
Estimated Cost - Fee
Owner Address Tele.
Contractor / Address Tel e.
Location of Building Zone No.
Additions & Alterations (Including V0Ving, oli ion, ign erection)
r ~
New Building - Type of Construction
Size Type of Heat Fireplace
No. of Stories No. Rooms Breezeway.
No. Baths Garage Use
I hereby certif that the proposed construction will conform to the applicable zoning reg-
ulations of th Town of Montville and the Basic Building Code of the State of Connecticut ,
and that all ement herein co a- e e true and correct.
O'717
Signed Approved
Date --I- Zg g 4fz Building Insector ~
~
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed