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TOWN OF MONTV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date `
Permi t No. 3 A a? /
imated Cost ~ Fee ~
Est
~'~f(-~
~S l M Te1 e.
Owner ddress
Address Tele.
Contractor
a Zone No.
Location of Building -/`A-1 1111-
Additions & Alterations (Including moving, demolition, ' n erection)
~
New Building - Type of Construction
Size Type of Heat Fireplace
No. Rooms Breezeway
No. of Stories
Garage Use
No. Baths
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 a 1; t tement h rein contained are true and correct.
,
Si gned ✓ ` ~ ' Approved
~ 71ns~ector
Building
Date
~rz
-
Inspections For:
Footings
Framing
Raugh Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed
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