final electrical inspection RX Date/Time 06/23/2020 14:43 15182731202 P.002
; ,Jun, 23. 2020 . 2:26P .,, MDIA _ No. 3912 P. 2/3
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� MIDDLE .1�EPART► 'ENT INS PE LTION AGENCY, INC. ;\,
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(�� v that the electri al wiring to t e electrical equipment listed below has been examined and is approved as
being in accord with the Nation.•I Electrical •de, applicable Bove ental, utility and Agency rules in effect on the date (`��
!,' noted below and is issued subj- t to the folio ing conditions-
Owner:
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(�� Target Dat':--• 06/11/2020 >>
(�a) f$
Occupant: ,, •
( p : Commercial Lo =,tio
(G• o78 Aviation Road-\ Occupancy- �
c�, Non-Residential • Queensbury, Warren Co_ NY fr
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() Applicant:
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Rogers Electric �j
2050 Marconi Drive •
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Alpharetta, GA300.5 �Y�'
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(4) Joseph&Holmes i 4'loll` ,,,, �`
P. No. 6 C�ti`�i LrtF �11 if !`iL`� (^J�
(j 1456•.5119243EL 1, /u1L't't`e� e _ ���)
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Equipment:
.:„.27-Switches;85- Receptacles; .05 'Fixtures; 1 =Oven; 1'=1.00 Am• Panel; 1 -Cooler; 5-Exit Lights; 3-Plug >>
- Strips ..
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()C�- This cenificate applies to the electrical whin, to the electrical =quipment listed immedia 'y null and void. This certificate applies only to the use,occupancy and e.)
above and the installation inspected as of the-'ova noted date b= ed on a visual ownershi as indicated herein. Upon a change in the use,occupancy or ownership �•1-J
(') inspection, No warrantyp -tp (�-
P is expressed or im li- as to the mocha ical safety,effl- of the property Indleatetl above,this certificate shall be immediately null and void, �<�)
ciency or fitness of the equipment for any pa c.lar purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, C�
( be valid for a period of one year from the abo e noted date, Sho.ild the electrical this certificate may be revalidated upon reinspection by Middle Department 9
1:p system to which this certificate applies be site.d in any way,incluc ing but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle 9)
0 ed to,the introduction of additional electrical .•.Jipment and/or the replacement of Department Inspection Agency, Inc. to initiate the Inspection and revalidation (4.)
2�) any of the components installed as of the abo : noted date,this certificate shall be process..A fee will be charged for this service. `�j)
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