electrical inspection RX Date/Time 0711212021 09:23 15182731202 P,004
Jul, 12. 2021 8;59p�MDIA No, 7205 P. 4/4
MIDDLE DEPAI TMPNT' INSPFCTION AGENCY' INC.
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(i� that the electrical wiring to the lectrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Cod , applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the followin conditions.
Owner
Candy Space Date:
06/29/2021
Occupant:
Fit Up Location:439 US 9
Occupancy:on-Residential Queensbury,Warren Co. NY
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Applicant:
L&M Associates, LLC
1439 State Rte. 9, Store#16 =
Lake George, NY 12845 • :• ...
cc-
Joseph A-Holmes
a--»—�.--
No. 318014153012EL _ I;._ _ _ - E..'L(7 36, F, 0 W El
Equipment:
6-Receptacles; 1 -Exit/Emergency Combo. JUL 21
TQVVN OF-QU EENSBU RY
BUILDING& COD S
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!oh a visual ownership as indicated 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.
cfency 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 applies be altered in any way,including qu1 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 replacsment 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 for this servloe.
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