Electrical Inspection MUM
am
MIDDLE EPAR M I SPE TIONT EN , INC.
r i es that the electrical wiring to the electrical equipmerlt listed below has been examined and is approved
beino in accord with the National electrical Code, applicabie governrnentai, utility and Agency rules in erect on the dti --
noted below and is issued subject to the following conditions.
Owner:
Hudson
udson Headwaters Health 0712612023
Occupant: Location:
Comm, 9 Carey Rd.
Occupancy- Queensbury,Warren Co. NY
IVon-Residential
Applicant:
Gross Electric, Inc.
27 Silver Circle
Queensbury, NY 12804
Ray Novak Jr.
No. 140826180021 Ei_
Equipment:
28 -Switches; 129- Receptacles; 61 -..Fixtures; 6- Exit Signs; 1 - 126A Sub Panel
This certificate applies to the electrical w1ring to the electrical equipment listed immediately null and void- This certificate applies only to the use;occupancy
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 owners
inspection. No warranty Is expressed or irnplied as to the mech&nicai safety,effi- of the property.indibated above,this certificate shall be immediately null and r
ciency or fitness of the equipment for any particular purpose. This certificate shall in the event that this certificate b000mes invalid based upon the above condivc
b--valid for a period of one year from the above rioted,fate. Should the electrical this certificate may be revalidated upon minspection by Noddle Departm
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An apptcation.for inspection must be submitted to Mi-,
ed to,the introduction of additional electrical equipment andfor the replacement of Department inspection Agency, Inc.to initiate the inspection and revaiida
any of the components installed as of the above noted date,this certificate shalt be process. A fee ivill be charged for this service_