electrical inspection RX Date/Time 0512612022 09:32 15182731202 P,004
Np, 9313 P. 4
26. 202�2�/1 97::04A jDEPARTMENT
-MD ��►�+ �p r�T
MIDDLE I DJ-JE DJ�-�i.C7.1'lTME � 1 IN$ LPC a d®N AGENCY, I C.
'e� 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: Bob Moon Date:
05/09/2Q22
Occupant:Cell Phone Store Location
340 Aviation Rd.
OccupancyNon-Residential Queensbury,Warren Co. NY
Applicant ---
Sean Patrick .... ..._.
3264 County Rte.30
Salem, NY 12865
L J MAY 2 6 Z022
No Joseph A_Holmes BUN NG�CNSSURy
- - - _ 148702'168595E1 _ - - - - - - - � _ .. .. �" ODES
Equipment:
1 -150 Amp. Sub Panel;4-Switches;21 -Receptacles; 15-=Fixtures; 1 -Vent Fan;2'-Emergency Lights;2-
Exit/Emergency Combos.; 1 -Time Clock
This Certificate applies to the electrical wiring to the electrlcal equipment listed immediately null and void. Tills certificate applies only to the use,occupancy and
above and the instellation inspected as of the above noted date based on 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.
ciency or fhness 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 l;por rainspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspector Agency,Inc. An applieaifon 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 the components Installed as of the above noted date,this certlticate shall be process, A fea will be cnarged for this service.