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electrical inspection A RX Date/Time 09/11/2019 12t56 15182731202 P.002 Sep. 11. 2019 12:43PM MDIA No, 0558 P. 2/13 . MIDDLE DEPARTME INSPE 4 TION AGENCY, INC. << • ( me that the electrical wiring to the electrical equipment I ed below has been examined and is approved as •- ?vj being in accord with the National Electrical Code„applicable govern ental, utility and Agency rules in effect on the date 0. noted below and is issued subject to the following conditions. ! . • r) � Owner: Stewarts i Date i i 08/30/2019 CGJ� Occupant: Loca l• O �`;�) Counters i ; 02 Bay Road C�� • i i i ( ueensbury,Warren Co. NY 0 .ccupancyNon-Residential <<� (0 Applicant: i i : (+) 4 Barlow Electric HI , , .(\• Wesley Barlow , i i1. • rC: O 46 Gillespie Road I I •.. . •i' n tr I, • i t� ^5 ���) IT Middle Granville, NY 12849i • J • i (� SEP• 16 2019 4 Joseph A.Holmes . _ (��� >>cN 145267113633EL ' • i ' : •• TOWN OF OUEENSBURY :‘;• _.. __ .-. -- BUILDIP & ES��� Equipment: •i ! • (t.24-Receptacles • i . OLD . '��� i:J) �j I' I el lei l .•. l� • ; . u ll.. •.. (i I • rl:9 1 �• i.. • (^�j • , is ;i•'r •• L �c• (cam i %lJ It This certificate applies to the electrical wiring to me electrical equipmint listed immediately nul and void. This certificate applies only to the use.occupancy and (� above end 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 )2 g.j) inspection. No warranty is expressed or Implied as to the mechanical 44fety,eft- of the property ndicated above,this certificate shall be immediately null and void. '..�) vcienry or fitness of the equipment for any particular purpose. This certifCate shall In the even,that this certificate becomes invalid based upon the above conditions. �J� be valid for a period of one year from the above noted date, Should the electrical this certificate may be revalidated upon reinspection by Middle Department -�• 5;1 system to which this certificate applies be altered In any way,including bu not limit. Inspection Ag cy,Inc. An application for inspection must be submitted to Middle i5J) ed to,the Introduction of additional electrical equipment and/or the reple: ment of DepartmeM In pectlon Agency, Inc.to initiate the inspection and revalidation C) `'1 any of the components installed as of the above noted date,this certifical shall be process. A fee will be charged for this service. �� :c- :;i /• : . :,7- n p>K.:i 4vC ci ,,iTi -r , : i:.>•:%. w.� ;� *..� :, ,zs.•;• q> � . ,<;, .,_ ,;, .I . I 1 • I • • • I , 1