electrical inspection rcx uatei lime 0610412019 10:50 15182731202 P.003
Y�-Jun. 4. 2419' 10 28AM M0IA,gya� �,*`r�.�,� 13%. v- 4.4 ,,�,:: �o: 9012 ,4 P. 3/4 ✓`
i}✓,1✓ /. - iJ�J�'o- :' R �J`;4,f �,��v C. ,;p ''Cs: •rC-
`�� ✓- f• /�% vt✓..%.J•✓.,`l V/,Jain}`.i��•��lj;�y,,
",, MIDDLE DEPARTMENT' INSPECTION AGENCY INC. fi
0 cek,,e s that the electrical wiring to the electrical equipment listed below has been examined and is approved as
k,�� being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date l
noted below and is issued subject to the following conditions. Lj
�g Owner: Date- • Cr;•
Community Works 05/22/2019ryj
... Occupant: Location- IDS
• 0) Comm.11St Fl. Rear 37 Everts Drive -•.5
Occupancy: Queensbury,Warren Co. NY )
CO rNon-Residential 4
�, Applicant: cF)
1 J. Mcgain I •
r-�) Electric Inc. 0 Ca 24 ( r 0
(�) 2742 6th Ave f
i'� Y, 12180 '
Troy, N_
f ) J <<r)
0 Joseph
A Holmes:': • 3
wNo.
- � 1410 2108422EL. i%
— —
0 Equipment: S
te) .
32- Switches; 182- Receptacles; 132='Fixtures; 3-50 Amp Ranges, 3='20 Amp DishWashers 12- Emergency - 4;
t19.1
•,•Lights; 16-Exit Lights •
l
( ) iti
(04
a5
Zt1 �r5
h
( S(•�1
A,. 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
0 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 ownership 7�
)) 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. it.{,p�
tea' cieney 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, �4
vC be valid fora period of one year tram the above noted date_ Should the electrical this certificate may be revalidated upon reinspection by Middle Department Cj�
0>>h) system to which this certificate applies be altered in any way,Including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle t7
I.4,) ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency. Inc.to initiate the inspection and revalidation f\0S
lC any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. `,,<,�l
//�� .A
t•� •z•—•••—•••--,-v•,••.'r� •iaY, �—N. — -.r•:••: ••"i rstiY • :••-tiy€ar;-�� — �•r;>:.`r:ti;C•% i=:;:'P:F':•fiv:ti•%C f Sy{ � r' ✓,,,,,,;:$9
u�v;�J�?i.%/'`t.�ti✓t��cL�+2`�v%Ca}�d�+.�'�,>�,>%�;J�,�T,r��y.,4�C��%�•�'•�'�-1ny,`,�,��,v�rv',�r�;vi✓,�],:v;�•��:t �� •� .-�i��=��.�.n,n_n✓.�..L.Vi:;
\ 9 �1" [\,.61
UN05201W
` TO V.N1 Y F 'E NS9b�R `
6tJ4L 1N " C� tDt'