emergency contact town Ui(jtwrroburt
742 Bay Road,Queensbury,NY 12804
P:518-761-8206 or 518-761-8205 www.queensbury.net
EMERGENCY CONTACT INFORMATION
**THIS FORM IS USED TO ASSIST EMERGENCY SERVICE PERSONNEL WHO MAY BE CALLED TO YOUR
BUSINESS AFTER HOURS. PLEASE BE SURE THE CONTACTS LISTED BELOW ARE WILLING AND
AVAILABLE TO REPSOND DURING OFF-HOURS TO ASSIST POLICE AND/OR FIRE PERSONNEL IN
GAINING ENTRY TO YOUR BUILDING.**
PLEASE BE ADVISED THAT FAILURE TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN
DAMAGE TO YOUR BUILDING BY POLICE AND/OR FIRE PERSONNEL.
Date: 5/30/2018
Business Name: July 4 Ever Fireworks Inc
Meadowbrook Plaza at 324 Quaker Road Suite 6 Queensbury NY 12804
Business Location (including suite,space,etc.):
Business Phone#: 845-564-0184
1. Contact name: Camille Esposito
Main Phone:_( )347-566-3715 ;Secondary Phone: ( )845-564-0184
Coming from what town/village? Queensbury
2. Contact name: Anthony Esposito
Main Phone: ( )917-468-9145 ;Secondary Phone:_( )845-564-0184
Coming from what town/village? Queensbury
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
P: 518-761-8206 F: 518-745-4437
FIREMARSH"IAL@QUEENSBURY.NFT
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certificate of Occupancy Only Revised December 2017