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1735 BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. 17 1 F. to v w r+ PERMISSION is hereby granted to i oon R- R Theresa p- Spath r OWNER of property located at _ Ri ti a Road Street, Road or Ave. � O 7 in the Town of Queensbury,To Construct or place a Dwpl 1 i na Sewage Syn t em ]p 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. 1. OWNER'S Address is Star Route Glens Falls, New York 2. CONTRACTOR or BUILDERS Name Owner plus Curtis Harris 3. CONTRACTOR or BUILDER'S Address Same address as above, 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ()4 Wood Frame ( ►Masonry ( ►Steel ( ► 7. PLANS and Specifications No. (Sewage System) 721X361 as per plot plans and specifications submitted. 8. Proposed Use tQ One-Family Dwelling Sewage System M two car attached garage o a C/O 5.00 $ 76 00 PERMIT FEE PAID —THIS PERMIT EXPIRES A—1 (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.) Dated at the Town of Queensbury this 4 Day of May 19 72 ����� SIGNED BY for the Town of Queensburyr Building and Zoning Inspect 5� S140 CERnlqCATE OF OCCUPANCY T TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK v Date Ma=r 6 19 This is to certify that work requested: to be done as shown by Permit No. 1735 has been completed. This structure may be occupied as a Gn e_F=a mi l y Dwelling, Location Ridge Road Owner Leon R. & Theresa P. Spath By Order Town Board TOWN OF QUEENS$URY BuildingfZonins pector