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emergency contactFon of Qucensbuty 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. Date:Leal {2 2¢: Business Name:A Howe hmye Business Location (including suite,space,etc.):208 Dix Ave CQiateirs hunts A fa Business Phone #: 1,Contact name: “Men Leal Main Phone:(_S78_)Y6G-90 9 ___;Secondary Phone:_(_—a Coming from what town/village?&Le nee fe dy 2.contactname:_en Anak lackorer. Z Main Phone:(S/2_)29/-By o Secondary Phone:_(__—)_— Coming from what town/village? —Basertir bastg—TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE P:518-761-8206 F:518-745.4437 FIREMARSHAL@ QUEENSBURY.NET FIRE MARSHAL MIKE PALMER DEPUTY FIRE MARSHAL GARY STILLMAN, Certificate of Occupancy Only Revised December 2017