electrical inspection Oct.` , 29 2019�1026A;, -.-> �MDIAk� - ' •�� No. 1462 R. 7/7
- - S 'Y 'ys{ ` �� !-' � i ? q ?�� SaC�% •k� : a• i •�/� ~ • ,�^- • �� 'e/, 3 y .�(. l'S � eti, , .�vy . :
N-fMIDDLE DEPARTMENT INSPECTION AGENCY, INC. � ,
v IS" eexici& that the electrical wiring to the electrical equipment listed below has been examined and is approved as r 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.
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Owner: ,a.
''" Date: ��'Hannaford 10/22/2019
cal Occupant: To Go Area Location; )
p90 Quaker Road
i.
Occupancy.
Non Residential Queensbury, Warren Co. NY r'.;�
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(•a:1 Applicant:
M&G Construction & Electric S
'tea' Matt Groff (�-���i)
n
a 97 Edie Road •
Saratoga Springs, NY 12866
t) Jai
4 Joseph A.Holmes
dal No.
z,1, 147256115252EL 1�J;,
jai Equipment: a, '.(3 5 - 2�Q/
. 2 - Switches; 11 - Receptacles; 8 - Fixtures; 1 - Exit Light; 1 - Plug Strip .. E C E O V LE
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t OCT. 3 0 2019 _ 4.
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- TOWN OF QUEENSBURY �'��
•
BUILDING&CODES �,
4NA h.
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 on a visual ownership as indicated herein Upon a change in the use,occupancy or ownership \fr���, inspection_ No warranty is expressed or implied as to the mechanical safety.effl- of the property indicated above,this certificate shall be immediately null and void.$4., ciepcy or fitness of the equipment for any particular purpose. This certificate Shall In the event that tills certificate becomes invalid based upon the above conditions, `t
be valid for a period of one year from the above noted data Should the electrical this certificate may be revalidated upon reinspection by Middle Department " )
(()yl 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 A'
ed to,The introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation 1.
any of the components installed as of the above noted date.this certificate shall be process, A fee will be charged for this service. "�