1384 BUILDING PERMIT
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TOWN OF QUEENSBURY
No1384 S.
WARREN COUNTY, NEW YORK M
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PERMISSION is hereby granted to Renal Realty
OWNER of property located atMeadowbrook Rd. & Cronin Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage System
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER'S Address is
P. 0. Box 668
Merrimack A�
New Hams)-hire
2. CONTRACTO or BUILDER'S Name
Richard Beal
3. CONTRACTOR or BUILDER'S Address
Quaker Road
Glens Falls New York
4. ARCHITECT'S Name d
Same
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5. ARCHITECT'S Address
Same
6. TYPE of Construction— (Please indicate by X)
1 )Wood Frame ( )Masonry ( )Steel 1 ► fVA
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7. PLANS and Specifications 4
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No. 1000 gal. steel tank atld 7 ' deep block pits as per plot
Tans submitted. PV
8. Proposed Use ,hd
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Sewage System •
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$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES lei-1-71 19 N�
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 27 Day of August 19 71
SIGNED BY or the Town of Queensbury
Buildingand Zoning I nsp6ctor