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TOWN OF MONTV I LLE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. Date ,2~ 7s~~
Estimated Cost Fee,
Owner'772~'_~/~ Address g Tel e. P11F 2 6 7
Contractor /,(Q Lr Address- Tel e.
Location of Building Zone No.
Additions & Alterations (Including moving, 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 .4 112" Approved
f Building Inspector 0"~'/C'
Date ----C~'v -
-
Inspections For•
a
Footings t "4 -7 1-
L-~~7/Z
Framing
Rough Wiring
Electric Service 17
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Rejected Signed
Approved