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TOWN OF MONTVILLE
Department of Public Works
Application for Building Permit
Date 4 9~ " 7Z,
Application & Permit No. . . . . . . . . . . • • .
1... .
Estimated st Fee . . . . .
®
Owner 100 Address
'
Contractor Address .
. . . . . . . . .
Architect Address
Location of Building • • • • Zone No". y4z:)
Additions & Alterations (including moving or demolition and sign erection)
New Building - Type of Construction •
.
.
Size . . . . . . . . Type of Heat r".
f
No. of Stories Fireplace . . .
No. of Rooms 7 Breezeway .
No. of Baths Garage
Proposed Use 7. F1
I hereby certify that the proposed construction will conform to the applicable zoning regulations of the
Town of Mon ville and the B ui ing Code of the State of Connecticut.
Signe . Approved . . .
Date • • Building Inspec r .
Form No. BIMO 70-100-1
BUILDI17G INSPECTION FIELD REPORT
I'HF~'ilT,f~
DATE
O Y i*q ER
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CONTRACTOR
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NATTs" OF WORK
INSPECTIONS: (DURING CONSTRUCTION)
FOOTINGr?
FRAKING ,3 leek --2:1131 .1
ROUGH PLUMBIMIF
ROUGH WIRING
OTHER
INSPECTIONS g (FOR OCCUPANCY)
,TIRING
HEATING-
OTHER
F OM'- NO. BI O 70-100-5