Electrical inspection 03/31/2023 08 : 57 From : 15182209014 Cincinnati Sawyer Fage : 4/4
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�� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. I
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.j e that the electrical wiring to the electrical equipment listed below has been examined and is approved as
• %4 being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
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tys1 noted below and is issued subject to the following conditions.
15 Owner: Unknown Date:
603/23J2023
Occupant:Vacant Locatio55 Bay Rd.
p Queensbury,Warren Co.NY
Occu anc-Non-Residential
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Applicant: Dean Electric °�<.
n� Box 4 4'
c t �
Glens Falls, NY 12801
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•) Pete Jennings Jr.
A.
No.
146853175 >
243EL t '
r Equipment: _ tkc
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. -Switches; 8-Receptacles; 12-GFCI Receptaclee; 13-Fixtures; 1 Exit Light; 1 -Exit/Emergency Combo.
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,,F�,. This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy\.4 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 owership \.,
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. r
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon67)
• be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated.upon reinspection Middthe le Dee partment
l system to which this certificate applies be altered in any way,including but not limit- Inspectiontions, ..rme Agency,Inc. An application for inspection must be submitted toa dati le v
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation ,^
<.7 any of the components instated as of the above noted date,this certificate shall be process.orxss. A fee will be charged for this service.
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