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TOWN OF MONTV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 7 `7
Permit No. C,2
Estimated Cost 0 G Fee_ vr- ® (2
Owner 9,`~ of r Address ^4 Tel e. d9Xd9- 9 ;7Y -SL Contractor- Address Tele.
Location of Building %Zx---- Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
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New Building - Type of Construction
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 Approved
Date Building Inspector
-
Inspections For:
Footings , %~'r>i~y✓ G' .i 1
Framing
Rough Wiring
Electric Service
Rough Heating _
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed
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