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.TOWN OF M 0 N T V I LL:
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. 2 Date_ 3a
Estimated Cost 7 (C~ Fee'
Owner W i(Icam, Ath,L-(-oviJS Address ~3 __&eQchv-)v4 RJ_ 0k,4~Tele. IQ0
Contractor S_( P Address Tele.
Location of Building 3 -BeeAwooc Pd Dakdc~e_ Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
New Building - Type of Construction
Size Type of Heat Fireplace
No. of Stories eVo. 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.
Signe Approved
cam' ~ > r
Date 8 7 Building Inspector
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved e Rejected- Signed- R-6 .