elecrical inspection RX Date/Time 03/29/2021 09:50 15182731202 P.003
Mar, 29. 2021 9;28A MDIA No, 6126 P. 3
oo
MIDDLE DEPARTMENT INSPECTION,AGENCY, INC.
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
noted below and is issued subject to the following conditions.
Owner: Levi OutletDate: 03/17/2021
Store
Occupant: Location:
Comm., New Lighting 1424 Rte. 9
Occupancy: Queensbury,Warren Co, NY
melon-Residential
Applicant:Il
Comalli Group Inc.
7 Westview Rd :
Pittsfield, W 01201 :..
L _f
No.
Joseph A.Holmes -
- 141222150660EL __ ._ _ _ ' _• _ _ _ .
Equipment:
56-Fixtures; 1 -Exit Light
C
MAR 2 9 202.1
:.:•• TOWN OF QUEENSBURY
BUILDING&CODES
This certificate applies to the electrical wiring to 1he electrical equipment listed immediately null and vold. This certificate appli6 only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as Indicated herein. Upon a change in me use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
clency 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 reinspection by Middle Department
system to which this certificate apprres be altered in any way,Including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged forthis service.