electrical inspection RX Date/Time 05123/2021 08:13 15182731202 P,004
May, 28. 2021 1:55AI�IMDIA No, 6796 P, 4l1
MIDDLE DEPART4NT 1Nt5PECTI0N AGENCY, INC.
roz 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
noised below and is issued subject to the following conditions.
Owner: Date:
American Eagle Outfitters 05/17/2021
Occupant. Fit Up Location:
Rte_ 9
Occupancy,,on-Residential Queensbury, Warren Co. NY
Applicant: I �
BG Electric
Robert Guaschino
1505 US Rt 9
L Ballston Spa, NY 12020 J
Joseph A.Holmes
No. _14536815]976EL
Equipment:
12-Switches,22-Receptacles
�-Zo2.l
p � C E EE
• . MAY 2 8 2021
TOWN OF'QUEENSBURY
BUILDING&CODES
This certificate applies to the electrical wiring to the electrical equipi bent listed immediately null and void. This certificate applies only to the use,occupancy and
above and the Installation inspected as of the above noted dais based Pn a visual ownership as inccated herein, upon a change in the 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.
ciency or fitness of the equipment for any particular purpose. This certificate shall In to 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 th electrical this certificate may be revalidated upon reinspectlon by Middle Department
system to which this certifcats applies be anered in any way,including b it not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment andfor the reps cement of Department Inspection Agency, Inc,to initiate the inspection and revalidation
any of the components Installed as of the above noted date,this cerlifici te shall be process. A fee Will be charged for this service,
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