emergency contactECEIVE
MAR 18 2019
TOWN OF QUEENSBURY
BUILDING &CODES
Town of Q
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.
vate:_I&mag Zot
susinessname:_Dageen Temustetatio Séevices,Ine.
yBusinessLocation(including suite,space,etc.):137 WTQueenseueNy12404
usiness Phonew:__1B:793 -SRIZ
1.Contactname:__/ATTHEW BARRETT
Main Phone:(573)955 -Z373_;secondary Phone:_()
Coming from what town/village?___LEW Fars wy
2.Contact name:__lim SARRETT
Main Phone:(S78)V45 -GY5.3_;secondary Phone:
Coming from what town/vilage?__QUEEWSBURY,NY
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICEP:5187618206 F:518745.4437
FIREMARSHAL@QUEENSBURY.NET
FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN
Certicate of Occupancy Only Revised December 2017