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TOWN OF MONTV I LLt
BUILDING DEPARTMENT
APPLICATION FOR'BUILDING PERMIT
Permit No. Date ZZ
Estimated Cost / Fee
Owner Address Tele.
Contractor D 0 1 ~ Address Tale.
Location of Building Zone No.
Additions & Alterations (Intl ding moving, demolition, sign erection) /
F
New Building - Type of Construction
Size X 'Type of Heat replace
No, of Stories No. Rooms Breezeway
No. Baths Garage Use
T 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.
D
Signed Approved ~
Date -Building Inspector - -
---1_-------------------
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Rejected Signed
Approved- ---4 -