electrical inspection 4 �%Oct, 11. 2019 9: 32Aw.1330MDA- , ,- No. 12 2
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MIDDLE ENT INSPECTION AGENCY, INC. r�
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4h �� that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Cody, applicable governmental, utility and Agency rules in effect on the date '0 tii noted below and is issued subject to the following conditions.
Owner: '
��)� e Stewarts i Date: w
10/02/2019 g
`• Occupant:
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�,�' 1 St Floor/Comm. I I Location: e'
(J ; 347 Aviation Road cj
ci Occupancy: Queensbury, Co. NY . •
�d,.;,� on-Residential I I ry,
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ji Applicant: l
4) Hilltop Construction I ' ��j
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Cindy Albrecht '51 Crowley Rd. . I
' L Hudson Falls, NY 12839. • I • (�=�)
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a Joseph A.Holmes
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ra No 145262113634EL • r
CC 8l}�O - ZQ�'2l
* Equipment: ._•
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Az 2 - BARD Units; 1 - Plug Strip; 4 - Door Light Circuits; fl -240 Volt Coffee Machine; 400 -Amp. Service Equipment; 2 -
ksy 4/0 Service Conductors; 2 -225 Amp. Sub Panels; 1 -km Amp Sub Panel; 1 - 60 Amp Sub Panel; 8 -Switches; 48 - S3
Receptacles; 79 - Fixtures; 1 -20 Amp Water Heater 2 -Vent Fans; 1 - Emergency Light; 4- Exit/Erngrgeacy *
y Combos.; 1 -Time Clock _ rc
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rsy roc'T 17 2019 r G
1 TOWN of QUEENSBURY
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BSI DING&
6'� This Certificete applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and ,h<�-�
[w above and the installation inspected as of the above noted date based ot�8 visual ownership as indicated herein. Upon a change in the use,occupancy or ownership ("
ac inspection. No warranty is ecpressed or implied es to the mechanical sakerty, effi- of the property indicated above,this certificate shall be immediately null end void, !-.�_.}�
r ciency or fitness of the equipment for any particular purpose. This certlficata shall in the event that this certificate becomes invalid based upon the above conditions. T-
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 �!`
.y) System to which this certificate applies be altered in any way,includingibul ndt limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle .4
�� ed to, the introduction of additional electrical equipment and/or the replac�ert�ent of Department inspection Agency, Inc. to initiate the Inspection and revalidation 0
s� any of the components•natalled as of the above noted date.this certihiFatl shell be process. A fee will be charged for this service. (,{(�
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