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Electrical Work 1990 TOWN OF MONTVILLE Building Department PERMIT TO INSTALL: PLUMBING MECHANICAL ELECTRIC (circle one) New _ Repair or Replacement Permit No. (99S Date 1-10ky , Estimated Cost /000, ner) Fee '7114JJ 400 G < �( Ca 1 ,✓ Owner '1;riclr./> 5 j—nir. Address Ili Rri bole ) ,Ir vZ Tele. Contractor PerVP; \€1:.+CtC. Address j (jt- ,`c cc\ Tele. .cl-�$'Th Type of License El License No. j©a f'),:j Contractor or Authorized Agent Permit Approved By 1 Signatu Building Official Insp. 1 Q Dat? Insp. 2 Date