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Roof Overlay 1985 TOWN OF MONTVILLE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Permit No. .5'7( 9 Date,/047//45 Estimated Cost It j Fe: Owne �. Address ae Tel,�� IrA" Tele. r-7M5— Contr$tor ./9 Address Tele. Location of Building Zone No. Additions & Alterations (Including moving, demolition, sign erection) New Building - Type of Constru ron 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. iiA /` Signed Y /77/C Approved ,/e9 Date 7/g Building Inspector , Inspections For: Footings Framing Rough Wiring Electric Service Rough Heating Fireplaces Other Misc. Final Inspection for C.O. Approved Rejected Signed