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CO-0034-2020
Miko CERTIFICATE OF OCCUPANCY ONLY|Officeuse only Permit #:_C.O =Ot -20APPLICATIONemOe“Town of Queensbury Permitfee:$YOO~742 Bay Road,Queensbury,NY 12804 invoices;2BAY P:518-761-8206 or 518-761-8205 www.queensbury.net **This application is for occupancy only,with no work requiring a building permit** CONTACT INFORMATION: ©Applicant:.2Name(s):Micy tee FARR /wow Afhethy Knfebthew mine CENTOR Mailing Address,C/S/Z:__.Ce yago st Heer Foto,ct Obny Cell Phone:(&/0 _)_ZGy 0349 Land Line:_(€40 )296 7222. Email:MEK FeBRcer <uyk Keys@hdsom «Business Owner(s): Contact Name(s):AICHMEL FG RITE Mailing Address,C/S/Z:_USS Leby¥phy st HART FyRp pcr OGY. Cell Phone:_(60)794 03 89 landline:(466 )296 7a2% Email:_MrKEENBRTZ clus Kays @ YAvou coy ©Manager: Contact Name(s):Mich pet MR RIZE Mailing Address,C/S/z:___USSG yang Se NAAT RyRy ct Cell Phone:_(%6o_)Jou O07 ¥Land Line:_(%f0 )296 9222 Email: *Property Owner(s): Business Name:Prénaay Choo Contact Name(s):IYSON TY Lien Mailing Address,C/S/z:_52 8 #vatTx0v RD Quexts Bay NY 2 ¥0y Cell Phone:_()land Line:(7%)792 $87 Ao Email:__Son Tyten @ PYRA mm mée-<o A Contact Person for Building &Code Compliance:4 TCHEL FABRr Ze Cell Phone:_($fy__)_75 ¥23 8G id Line:_(Sy)39 6 7222. Email:Tm -pe CET —VE?) Certiicate of Occupancy Only Revised December 2017 Town of Queensbury 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. owe Waghy Business Name:_WwO\y Fmrty EWTN mins ¢eMTeh Business Location (including suite,space,etc.)TE aSePvepyroyRoQyeensDunyNY J3¥0y Business Phone #;B60~7 GY -03x 1.Contact name:MrConeL MABRE SE Main Phone:(¥60_)JPY 0389 _;secondary Phone:_(%bo_)2965222 Coming from what town/village?__HRY FuRQ,CT 2.Contact name: Main Phon Secondary Phone:_() Coming from what town/village? TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICEP:518761-8206 F:518-745-4437 FIREMARSHAL@QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN, Certificate of Occupancy Only fevised December 2017 STOCK Roy 5 [Laores sm]ss ic|“rmx AowneyBranesy veocoGHelse Pix Rp, q zg"AGore nNHrs)Wi | cHnniGmth cHaIEStop) €0-0034-2020 nterWOWFamilyEntertainmentCet 578 Aviation Rd C/O Only (relocating to former Game 302.5-1-92.11