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Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
860-848-3030, Ext. 82
Plumbing Permit
Permit Number: P2002-134 Permit Date: 16-Oct-02 Permit Code R5
Job Location: 4 ANDERSEN LANE UNIT: MAP/LOT: 037/002-060
job Description: plumbing
Owner Contractor
Brian C Gebo William Gebo
27 Phillips St.
PO Box 204 Unit: Griswold, Ct. 06351
Jewett City, CT 06351 Telephone: 376-3507
Lic/Reg Type: P1
Use Group R4
Lic/Reg Number: 203375
Code 1995 CABO
Exp Date: 10/31/02
Construction Type 5B
Construction Values Permit Fees
Building Value: $0.00 Building Fee: $0.00
Plumbing Value: $0.00 Plumbing Fee: $0.00
Mechanical Value: $0.00 Mechanical Fee: $0.00
Electrical Value: $0.00 Electrical Fee: $0.00
Other Value: $0.00 Other Fee: $0.00
Total Value: $0.00 C/O Fee: $0.00
Comments: Plan Review Fee: $0.00
Included on Building Permit State Ed Fee: $0.00
Total Fees: $0.00
It is the owners resnonsibiiitV to schedule the following required ins ion (minimum 48 hours notice requested):
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring ❑ Fireplace Final
❑ Rough Framing ❑ Chimney - One flue above thimble
❑ Rough Electrical ❑ Firestopping/draftstopping
❑ Electrical Service ❑ Insulation
Rough Plumbing and Leak Test ❑ Final Inspection
❑ Gas Piping and Pressure Test rtificate of Occup - or to use or occupancy
Building Official's Signature:
I
Town of Montville
Building Department Permit #
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 82 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Trades Permit Application Form
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Job Description/Materials
Owner J00 /1~~•:~ /
Mailing Address_ _27
City State Zip e:5 ~_51 el _~~c
Contractor /s C Mailing Address
City. 46 S State. _ zip :~%6 v~~ Tel &:to a
Contractor's License/Registration Type & Number_ Exp. Date
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I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make application for a permit for such work as described above.
Owner /Agent Signature ;i`'~~ '
Date A / / S /_0Z
Construction Value Fee
Building $ $
Plumbing $
Mechanical $ $
Electrical $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $
Total $
STATE OF CONNECTICUT I
DEPARTMENT OF CONSUAILT PROUXTION
PLUMBING & PIPING UNLIMITED CONTRACTOR
WILLIAM J GEBO SR
27 PHILLIPS ST
JEWETT CITY, CT 06351
TYPE: Pi
LIC. / REG NQ. EFFECTIVE EXPIRES
203375 11/14/2001 10/31/2002
,SIGNED