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A
TOWN OF MONTVILLE
Building Department
84.8-7166
APPROVED BUILDING PERMIT sR TRADES PERMIT
For 180
H Approval Date' 6/29/92 Expiration Date= 12/29/92
Permit No- 10107`P& C.O'
Fees -
Estimated Cost= 4,100.00 Tel'. 874-x992
Owner: 26 .q0 PRF=
Address M i 1, f or d
Owner i~'Amata Bras. Code` 06
Job Location= Lot 40, Amanda Court
Ci riano Address= 14 Old Fitch Hill Rd.Te1=848-3208
Contractor p Commercial-
Modular Home= Manufactured Home=
Stick Built= x Roofing:
Addition: Garage. Car Port- Shed= Remodeling-
Windows: Pool: Demolition:
Fireplace- Chimney,
Siding= Gas=
Electrical Air Conditioning=
Plumbing= x Heating= x
Deck` New' x Repair/Replacement=
Patio= Porch=
used/discriPtion: plumbing and heating to Cade for new house
Type of material
Fireplace
Type of Heat
Size=
Breezeway:
No . of Stories: No. Rooms=
use=
Garage-nform to
No. Baths=
the Basic I hereby certify that the proposed work
byltheo5tate of Connecticut, and
Building Cods and all other Codes as adopted
the Town of Montville. w
Date=
Applicant's Signature=
'cense/registr ion & No=
If signed by Contractor,- " type of
/
Date = L
Building Official's Signature=
Date of Health Dept. Approval=
Date of Zoning Approval= _
THIS IS TO INFORM YOU THAT UNDER THE CONNECTICUT AMINDMENT OF TPRIOR TO
BUILDING CODE, SECTION 119.1 A CERTIFICATE
ANY USE OF THE STRUCTURE.