electrical inspection •
RX Date/Time 09/24/2019 09:00 15182731202 P.002
- s;Sep. 24. 2019d 8:47A _,, ,;. MDIA No. 0801 P. 2/6
d. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ,w
>0 �or!' that the ����
Ic ezt electrical wiring to the electrical equipment listed below has been examined and is approved as ?--,...�r j being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
&&j noted below and is issued subject to the following conditions.
Owner: CR Bard - Date: 0>>
09/18/2019 �)
(e'a) Occupant• 0
�j 1st FIr Clean Room/Bldg1 Location; C,)
-e 0189 Bay Road ,�:<
Occupancy Queensbury, Warren Co. NY *,.
(r. Non-Residential >.�
0 I— 7 ;,)
4 Applicant: r (j
.., Prediletto Electric �r�j
l j 36 Beechwood Drive •• . .•
d
Clifton Park, NY 12065 • . • . .. . , . • ..•
80
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Joseph A.Holmes •
,,tO No. '140285113.289EL .. <<)
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.y. Equipment: -: ()
CQ
200-Amp. Service Equipment;4/0-Service Conductor; 4.-Switches;25*-Receptacles;24-Fixtures; 1 - -')
:j Exit/Emergency Combo.
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' .SEP 2.4 2019. `�'' .
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(h) . • TOWN OF QUEENSBU.RY•
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(�j BUILDING& CODES •
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This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to me use,occupancy and 0(, above and the installation inspected as of the above noted date based on a visual ownership as Indicated herein. Upon a change in the use.occupancy or ownership l"�)
(�) Inspection. No warranty is expressed or implied es to the mechanical safety,effi- of the property indicated above,this certificate shall be Immediately null and void. `ji
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
( '• be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspectlon by Middle Department W,�) system to which this Certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for Inspection must be submitted to Middle l
(.4d) the components installed as of the above noted date,this certificateed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the Inspection and revalidation ,.
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' any of shall be process. A fee will be Charged for this service.
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ELECTRICAL INSPECTION
na,p, t. ;,;, -T NT INSPECTION AGENCY
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°RIZ INSPECTOR
. 4CFAI . D WIRING = r E i
UTILITY NOTIFIED44,4
FItiAL APPROVAL eATE i _till 5-
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