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TOWN OF MON TV I L L E
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. Date
Estimate Cost C~ Fee
Owner Address Tel e
Contractor Address Tele.
Location of 4'dirgZone No.
Additions & Alterations (Includin moving, demolition, sign erection)
New Building - Typ of Cons ction
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 M Approved
Date j Building Inspector
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed