final electrical inspection RX Date/Time 08/20/2019 07:53 15182731202 P,004
'7r`< Aug, 20. 2019.0 7:40A MD IA No. 0261 P. 4/9
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Ceexerrots that the electrical wiring to the electrical equipment listed below has been examined and is r�'
'' approved as '"-) tieing 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. (v,
Owner: C�)
• JMC Properties Date: 07/31/2019 •
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Occu ant: • )
,� Location;
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: n36B Smoke Ridge �,
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•2 Ingle Family Dwg, Queensbury, Warren Co. NY • \Z
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Applicant: n �/� �..a
Cifone Construction E C E U V
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E� PO Box 684 - • �)
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Glens Falls, NY 12801
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..AUG202019
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pi, TOWN OFOUEENSBURY �^..
Joseph A.Holmes BUILDING CODES
14400511_2745EL . • — � �-�NC
equipment: j
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121 -Switches; 38- Receptacles; 19 = Fixtures; 1 -30•Amp Dryer Receptacle; 2-Vent•Fans; 4-Smoke Detectors a`')
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j 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 `a
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• 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 1;
. ,nspection. 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. y)
den or fitness of the equipment for(�j� cYany 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 upon reinspection by Middle Department C
-*• 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 �d\
yad 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 certificate shall be process. A fee will be charged for this service.
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