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TOWN OF MONTVILLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. Yd 1413 Date
Estimate Cost Fee
Owner Address , Tel e
Contrac r Address Tele.
Location of Building Zone No.
Additions & Alterations (Including m_o_viin-_g,,- demolition, sign erection)
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 104
-
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected Signed