electrical inspection Oct. 29. 2019 10: 26AV, M D :A _ No. 162 °. 5/7
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•. MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
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.; (ea that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
r4? noted below and is issued subject to the following conditions. %j•
Date:
( te
t Owner:p D 0-
Addictions Care Center 10/21/2019 rF
�xl Occupant Location: ''7h
t:A Comm • 79 Glenwood Ave `,
,t= Occupancy: Queensbury, Warren Co. NY f 5
Kt. Non Residential �1
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P4 Applicant C••�
Martin Electric fi„fi��
) 164 Columbia Turnpike (u
) Suite B •
r
r1 6LRensselaer, NY 12144 . .
4 Joseph A.Holmes I(
�:•?) No.
140049112489EL
14
Equipment: .C-— 0 .2 2 - 2-,CiA rn
3 - Sub Panels (2-100Amp, 1-�400Amp); 39 - Switches; 111 - Receptacles, 132 - Fixtures; 2 - 30 Amp Dryer
c�Receptacles; 4 -Vent Fans
iesv1.1.
• OCT 3 0 2019 �`
a � 1 4.9)
) TOWN pF QUEENSSURY
i BUILDING&CODES
Gr*� This certificate applies lc the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use, occupancy and L'�
1. 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 7�
,���.� inspection. No warranty Is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate snall be immediately null and void. C( '
•11 ciency or fitness of toe equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, l:
;;�k 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 4.
ht) system to wnicn this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle r)
t<� ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency. Inc. to initiate the Inspection and revalidation 0,
Y�. any of the components installed as of the above noted date,this certificate shall ba process. A fee will be charged for this service.
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