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G Permit Applications must be legibly printed or typed. Illegible applications will be rejected. Street numbers, not lot numbers, are required. Press F1 at fill-in boxes for help. Intentionally making a false statement on this form with intent to mislead a public servant in the performance of his official function is punishable as a class A misdemeanor. -- CGS 53a-157b. Official Use Only Job Location Street Number: Plumbing Code-IPC Residential Code-IRC Street Name: Use: Floor: Unit: Occup.

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