2002-615 TOWN OF QUEENSBURY � ,a, ,: 1.:
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes, (518)761.8256
CERTIFICATE OF OCCUPANCY
Permit Number: P2002.0615 Date Issued: Monday,July 22, 2002
This is to certify that work requested to be done as shown by Permit Number P20020615
has been completed.
Tax Map Number: 523400.296-018-0001-047-000-0000
Location:. 911 STATE ROUTE 9
Owner: NORTHWAY PLAZA ASSOC,LLC
Applicant: PER SE'TECHNOLOGIES: JOHN MURPHY
This structure may be occupied as a:
By Ordet of Town Board
Certificate.of Occupancy(COM) TOWN OF QUEENSBURY
Director of Building&Code Enforcement
BP File#
Ne�z BAS17deSS
Dept. of Community Development Cf-3x"t1f1Ca�@ Of
Town of Queensbury
742 Bay Road
Queensbury,,NY 12804
'(518) 761-8256
For occupancy only, with no work requiring building permit: no fee require Wk rRit
TOWN OF QUEEINISI3URY
BUILDING AND CODE
Name of Business:
Address: y l—ar �1 �c l � P )9 2:d (/l1 re ,�o v S 2 P r� ; �_ �a- `, I
Person in.Charge or Manager: a M C )<et?
Business Phone Number: 2 5 7 c/ 3'7J- )0,S__ 1+�,,P ^„ ).
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Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): �j<i�;n 13
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Owner of Property: /J�'vf'7/I r 12 Z A
Address: jjel��' ' �\w'�'---•---''
Phone Number:
Please provide a layout of your store showing all walls, exits,stockrooms, rest rooms, counters
and fixture layout on a separate h et of paper. 3" o S x Y/a g _
Signature: Date: Z.—
of person su mitting t is fo
Property Tax Map No. / t
Notes/Comments:
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