electrical imspection Oct. 25, 2018 1 : 0 2PM MDIA No. 5678 P, 6
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c MIDDLE DEPARTMENT INSPECTION AGENCY, INC. �a
cee, .a that the electrical wiring to the electrical equipment listed below has been examined and is approved as s(�
e being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date S
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a; noted below and is issued subject to the following conditions. (�
4 Owner:
Ron Moore Date. 10/09/2018 tR,
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Occupant: Same Location;4 Ohio Ave. (
<< Occupancy Queensbury, Warren Co. NY rr5
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f - Applicant: __ -.- — ��
6� Ron Moore - . - `-_ �(;'
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('� 64 Ohio Ave. iEiCEOV 61
Queensbury, NY 12801 C�Yv
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L OCT 262018 �a)
1). Joseph A.Holmes TOWN OF QUEENSBURY
�� No. BUILDING&CODES �„
tr '� Equipment: P—C ."D 2 \ - 2�1 {\,'��
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M 150 -Amp. Service Equipment; 2/0 - Service Conductor; 1 - GFCI Receptacle; 1 - 100 Amp Feeder To Home
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w. This certificate applies to the electrical wiring to the electncai equipment listed immediately null and void. This certificate applies only to the use,occupancy and
C;''l above end the installation inspected as of the above rioted date based on a visual ownership as Indicated herein. Upon a change in the use,occupancy or Ownership J
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(\ inspection. No warranty is expressed or implied as to the mechanical safety,etfi- of the property indicated above,this ceNftcate shall be immediately null and void, N,§
ciency 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, rt
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{� be valid for a period of one year from the above noted date. Should the electrical this certificate may De revalidated upon reinspection by Middle Department fl��g�
(�)! 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
. ed to, the introduction of additional electrical equipment and/or the replacement of Department inspection Agency, Inc. to initiate the inspection and revalidation )
}it any of the componentsshallbeprocess, A fee will be charged for this service. (�v
n installed as of the above noted date,this certificate ge fv,
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