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TOWN OF MONTVILLE
Building Department
848-7166
APPROVED BUILDING PERMIT .."OR TR`A`DES PERMIT
Permit Not 9200-E Approval Dates 5/2/91 Expiration Dates 11/2191
Estimated Costs 500.00 Feesi 1LA.00 PRFa C.Os
Owners Peter X. Morosky Address 54 Hammel Lane Tell 848--8870
Job Locations Peach Lane Codes 0E
Contractors E. Brian's Elec. Address Quaker Hill Tell 442--0585
Stick Builts X Modular Hamel Manufactured Hamel Commercials
Additions Garages Car Porte Sheds Remodelinge Roofings
Sidings Fireplaces Chimneys Windows Pools Demolitions
Plumbings Heatings Electricals X Air Conditionings east
Patios Porchs Decks News Repair/Replacements X
Type of material used/discriptione replace bad service cable, meter socket and
grounding
Sues Type of Heats Fireplaces
No.of Stories No. Rooms Breezeways
No. Bathes Garages Uses
I hereby certify that the proposed work will conform to the Basic
Building Code and all other Codes as adopted by the State of Connecticut, and
the Town of Montville.
Applicant's Signatures Dates S-.2 r
616cfsz; r. v
If signed by Contractor, type of license/registration & Not 6`f
Building Official's Signatures Dates
Date of Health Dept. Approvals
Date of Zoning Approvals
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMENDMENT OF THE
BUILDING CODE, SECTION 119.1 A CERTIFICATE OF OCCUPANCY IS REQUIRED PRIOR TO
ANY USE OF THE STRUCTURE.
/ TOWN OF MONTVILLE
Building Department
Application for a Permit
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Owner: - 2, 4-6 is M U r eS tC U Address : Sir 40P,1 v E 4 ,Al-; I.rr" Tel:
Job Location: ~L~ 6
'-i~ O ~ roc l S`~
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Contractor: ZA~)'S Gfix'e 2 c,-7r~L Address. C-
Stick Built: Modular Home: Manufactured Home: commercial:
Addition: _ Garage: Car Port: _ Shed: _ Remodeling: _ Roofing:
Siding: Fireplace: _ Chimney: _ Windows Pool: _ Demolition:
Plumbing: _ Heating: _ Electrical: _ Air Conditioning: _ Gas:
Patio: _ Porch: Deck: New: Repair/Replacement:
Type of Material to be used/ job description: c s4 r
inn 64 3 ~ Svc LZ pr~cP c~ Di u ~c~°✓i -
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Size: Type of Heat: Fireplace:
No.of Stories: No. Rooms: Breezeway:
No. Baths: Garage: Use: