final electrical inspection RX Date/Time 08/20/2019 07:53 15182731202 P.007
� "Y M - -`Au 20, 2019' 1:4'A "'"iv�MUIRIe � No• 0261 P• 1/9
MIDDLE DEPARTMENT
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INSPECTION AGENCY, INC 'a
Dart. e.e4 that the electrical wiring to the electrical equipment listed below has been examined and is approved as t
�1Yraj• being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date k.
noted below and is issued subject to the following conditions. ��
y, Owner: ��
0. Gauthier Construction Date: ���
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07125/2019 ��
Occupant:
Same Location 5
zstOccupancy,. 114 Sunnyside North
, �9,
. Ingle Family Dwg. Queensbury, Warren Co. NY
0Applicantcs
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�� Gauthier Skilled Craftsman z
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j Shawn Gauthier __ -- _...,., ::... .GS
N� 15 Mt. Mcgregor Rd : ;: _• •. •( E 0 V E `rs.,
�; L Gans rt NY ,�
evoo 12831 ��
.,<•A1j6..Z'a•: 2019 6'
Joseph A.Holmes : 4
44. No. �)
s, 14757�111790.EL •TOWN OF QUEENSBURY ���
� I Equipment: _ . . — •BtJFLDING& CODES i��
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�Ga 2 Switches; 6-Receptacles; 3-Fixtil�es; 1 ='Arc Fault Breaker Z� l'
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�� This certificate applies to the electrical wiringto thetit):
�\� electrical equipment listed Immediately null end 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 �:9!
r4 inspection. No warranty is expressed or implied as to the mechanical safety,etfi- of the property indicated above,this Certificate shall be immediately null and void. r'
, verity 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, >�
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 ndl
(t..., 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 6�
C. ed 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. d C�C•�a»
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