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TOWN OF MONTVILLE J
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. 2J ~d Date 0
Fee
Estimated Cost ~1-0
Owner Address S-9 Z., J) uoCS Tel e.
Contractor Address 70 e C c~ kr~_ Tele.
Location of Building Zone No.
Additions & Alterations (Including moving, =emoliti n sign erection)
N
3 lboJ 8. 4' '~ttiJ ew i.v.4
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.
Approved
Signed
Date Building Inspector
-
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved '0 4 Rejected Signed t a _