2012-054 u TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120054 Application Number: A20120054
Tax Map No: 523400-290-000-0001-022-018-0000
Permission is hereby granted to: ANTHONY &JOYCE BOOTH
For property located at 755 COUNTY LINE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance.
Owner Address: ANTHONY gi JOYCE BOOTH Type of Construction Value
755A COUNTY L INE Rd Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2012-054
septic alteration residential
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, February 21, 2013
(If a longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Towt of Queensbury; Tuesday, February 21, 2012
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SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement