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"'TOWN OF MONTV I LLc
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. ~$0?9 Date
aw~
Estimated Cost Fee
ltVl,D C ~~4 ~K Address 31 /3~cEji~✓op 6,9, Tele.,9q-b-00,9&
Owner D
Contractor ELF Address'31 a ro"f~'aoop e':~a Tel e. 84-6-00e
Location of Building 3/ 136E660&✓a00 &6-- Zone No.
Additions & Alterations (Including moving, demolition, sign erection) RcP i C-i1UC-
~/<'O~'~ f~'~✓!a ~AJ~~ ~c?O~QS i4~~ ~M/'+~ G'Lf~~,~/jLY A/~/.9-GEN i /~~TEf~A~ Lam'
New Building - Type of Construction 7
Size Type of Heat Fireplace
No. of Stories No. Rooms Breezeway
No. Baths Garage Use
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.
Signed Approved L Aypq Y
Building Inspecto
Date -S~ - -
Inspections For: 44- -
Footings
Framing -
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved y') / -Rejected igned