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fOWN OF MONTV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permi t No. /J0/ 7 Date
Estimated Cost %~OO• 4 t~ Fee '5_00
Owner Address 2 Tel e.
Contractor . -23,466zo Address ~ Tel e.
Location of Building v2 / Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
New Building - Type of Construction
Size e," X.0 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 j4e~~Approved
Date ~~/3 017,5- Building Inspector A22
- -
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed