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Westchester Rockland ElectrimHnspection Services, Inc. .1 Phone: 914-347-3595
DO NOT WRITE HERE-FOR OFFICE USE ONLY 43 North Lawn Avenue i(S Fax: 914-347-3596
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Elmsford, NY 10523 � BUILDING PE!! NO.
TEMP# DATE _..�-�
CITY OgF V- ILLAGE ZI/oos l TOWNSHIP COUNTY
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STRE�TT N0.OM ^ (b cG ,_ ,r� 1, ,, �,+ POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? l> SECTION BLOCK LOT
OCCUPAKF'S AME BUILDING OCCUPANCY
0 ► �"R iiS G E �Q p ye R t D�C' P(/ L �y� HQM�EIiEPHONE NUMBER
CUR13EyT UPP�IED BY ' �.0 FROM THEIR OFFICE VjIq�81(/(�LEPH�NE,Nj R
C (���/ E LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NI 1j Q
NUMBER OF OUTLETS NO.OF FIXTURES& MOTORS HEATERS OFFICE USE
LOCATION
LAMP RECEPTACLES ONLY
SOEWALL SWITCH INCADE FLUORE NO, H.P.EACH NO. WATTS EACH INSPECTION
OUTSIDE
BASEMENT
1"FL.
2-FL
3'FL 30
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
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A D � '�3 PLwD14-7AJT fi 1 X7 Uje & T C s 7-re 6:
THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED ITEMS TO BE INSPECTED.IF AT ANY TIME OF INSPECTION ADDITIONAL ITEMS HAVE BEEN INSTALLED.YOU ARE
AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE FOR THE ADDITIONAL ITEMS INSPECTED AS PROVIDED BY THE APPLICANT.THE APPLICANT DECLARES THAT THERE IS
NO OPEN APPLICATIONS FOR THE ABOVE WITH ANY OTHER INSPECTION COMPANY.WREIS,INC.IS NOT LISTING,LABELING,UNDERWRITING OR CERTIFYING ANY EQUIPMENT,
MATERIALS OR DEVICES WHICH ARE PERFORMED BY OTHER CERTIFIED TESTING AGENCIES OR INSPECTION COMPANIES.THE APPLICANT,OWNER,OR AUTHORIZED AGENT AGREES TO
ALL THE ABOVE TERMS AND CONDITIONS AS SET FORTH FOR THE APPLICATION.
SIZE OF SERVICE FEEDERS
CHARACTER OF WORK NEW❑ ADDITIONAL❑ EXPOSED❑ CONCEALED❑ MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
SERVICE ENTERS BUILDING OVERHEAD❑ UNDERGROUND❑
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACE MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF COMPANY DATE OF APPLICATION SIGNATURE OF 1,"T
STREET ADDRESS TELEPHONE NO. 7 J�- 0
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P ?OR O L CE TvZIP CODE LICENSE NO.WHEN APPLICABLE /
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BY THIS CERTIFICATE OF COMPLIANCE THE
7westchester Rockland Electrical Inspection Services
43 North Lawn Ave, Elmsford, NY 10523
914-347-3595 Office 914-347-3596 Fax
CERTIFIES THAT
Upon the application of: Upon premises owned by:
Gerardo Rainone (M) - Gerardo Rainone Cerbone Bakery -Win Ridge Realty -
76 Breakenridge Ave 140 South Ridge Street
Port Chester, NY 10573 Rye Brook, NY 10573
Located at: 140 South Ridge Street, Rye Brook, NY 10573
Application Number: 2008393 Certificate Number: 2008393
Section: Block: Lot: BDC: 160 Permit Number: EP2662
A visual inspection of the electrical system at this premise described as a Commercial occupancy, wherein the
premises electrical system consisting of electrical devices and wiring, described below, located in/on the
premises at: 140 South Ridge Street, Rye Brook, NY 10573
1st Floor was inspected in accordance with the NYS and NFPA 70-99 and the detail of the installation, as set
forth below, was founded to be in compliance therewith on the 14 Day of August 2008.
Name Date QuantitN Rating Circuit Type
Replace Fixture 8 Ceiling
Fixtures Pendant 9
Switch J A/C
This Certificate has been approved by Westchester Rockland Electrical Inspection Services.
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rtificate may not be altered in any way.
rtificate is valid for work preformed before date of inspection only. mkuta 2
,August 19,2008 Page I nl I