electrical inspection RX Date/Time 05/1012022 13:16 15182731202 P.002
�May. 10. 2022 12:48P MDIA No. 9266 P. 2
MIDDLE DEPARTMENT INSPECTION AGIiNCY, INC.
09� 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. Sperry's Date:
04l13l2022
Occupant: Commercial, Fit Up 1st Fl. Location
r\\ 1439 Rte.9,Ste.62
OccupancyNon-Residential ,�1/� Queensbury,Warren Co. NY
Applicant F
Burbank Elec. Contr.lnc. -
3 Van Buren Rd.
Glenville, NY 12302 _
� CV E
p
Joseph A-Holmes
No. 140377158911 EL �
Equipment: vti Q
76-Switches: 15-Receptacles;23-Fixtures; 1 -Venf'Fari 1 -Exit LiQlif—_�
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 end the installation inspected as of the above noted date based on a visual ownership as indicated hereto. 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 indlcatgd above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This Corlifieats 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 electilcal this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc, An apDilcation 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 Vie components installed as of the above noted date,this certificate shall be process. A lee will be onarged forthls service.