5966 RCA Whirlpool BUILDING PERMIT
TOWN OF QUEENSBURY No. 5966
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Quaker Repair & Sales, Inc . w
OWNER of property located at 109 Dix Avenue Street, Road or Ave. N
in the Town of Queensbury,To Construct or place a Temporary Sign �'D
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. 1-1 n
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1. OWNER'S Address is 109 Dix Avenue v
Glens Falls, N. Y.
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2. CONTRACTOR or BUILDER'S Name cn
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name ~
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel. ( )
7. PLANS and Specifications
2 'x6 ' temporary sign on tent per application
No. submitted.
COPY: RCA WHIRLPOOL F-3
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. .8. Proposed Use TEMPORARY SIGN PERMIT FOR THIRTY
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Advertising DAYS JULY 12 TO AUGUST 12
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$25. 00 Deposit
25. 00 August 12 79
$ PERMIT FEE PAID —THIS PERMIT EXPIRES g 19 t.C1'
(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 12th Day of July 19 79
SIGNED BY � � � for the Town of Queensbury
Bui1 ng and Zoning Inspector ' 'a)
TOWN OF QUEENSBURY ` 'd3F t"r E v E F-3
� I 'JUL 1919 .
APPLICATION FOR SIGN PERMIT
A.M: 1 P.M.
7891 _ 123466
Application for a sign permit shall be submitted to the Buildng
Inspector in duplicate in ink or typewritten.
THE FOLLOWING INFORMATION REQUIRED: (:1) Detailed drawing or plan, to
,scale, showing the area (size) and the lettering and/or pictorial
matter composing the sign (2) Plot plan showing, it' s relation to nearby
buildings, structures, lot boundaries and any private or public streets
or highways (.3) Written consent of the owner of the building or land.
All signs must have name plate attached giving sign permit number and
name and address of owner.
1. OWNER OF THE PROPERTY
2. ADDRESS , ) /c�I I1 .TELEPHONE NO. 2
3. NAME OF APPLICANT �' Cf
4. ADDRESS TELEPHONE NO..
5. LOCATION OF STRUCTURE OR LAND OF. PROPOSED SIGN
6. SIZE OF THE SIGN (Width) Ft. (Length) Ft.
7. If the Sign is to be two faced give the number of square feet of
each face Sq. Ft.
8. If the Sign is to be Illuminated please check appropriate box: ,
Internal ( ) , External ( ) ,• Incandescent ( ,) , Neon ( ) , Other ( )
All illuminated signs shall be inspected and; certified by the New
York Board of Fire Underwriters.
9. Type of material used for construction of Sign ,7 /26 :
10. If the Sign is ' to be attached to a building, please describe where
on the building the, Sign is to be located and the distance from wall
-40- 47,0P4r, '17
11. Remarks or other information 3 el ,Di,- 6rG,i%!/4
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/ /2, Signature of aP. ica t, lease indicate
Date if Awier.. Contractor or Agent