electrical inspection RX Date/Time 04/2012022 15:27 15132731202 P,002
``Ap r. 20. 20229 2:59P MMDIA No, 9141 P. 2/5
MIDDLE DEPA.R ENT IN$PECTICN 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: Stewarts Date:
04/11/20Z2
Occupant: Comm. Location
1433 Rt 9
Occupancy) on-Residential Queensbury,Warren Co. NY
Applicants _ CO21 -20Z2
Montesant El. CC-
PO Box 1343
Chestertown NY ,
L J
Joseph A.Holmes
No. 3-1001415,8794E1-
Equipment:
1 -Switch;21 -Receptacles;2-Fixtures
01
TOWN OF QUEENSBURY
L'.J'ILDIPdG& CODES
This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies 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 ettmrigs in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,eifi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certmcate shall In the event that this certificate becomes Invalid based upon the above conW'tlons,
Do 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 epplles 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 o!additional electrical equipment antl(ot the replacement of Department inspection Agency, Inc.to initiate the inspection and revalidation
any of the componen'u•Installetl as of the ebave noted dais,this cefiHcate ahall be process. A Fee will ba charged for this service_