electrical inspection �'J„ C. IL. LUIOCL LirIVI, �IVIUIH .f,•�., .;, . �-,'C�,, ,-y�,rl. IVo, bJ•ti _r. Ibev/ Id_
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MIDDLE DEPARTMENT INSPECTION AGENCY, INC. �;
a that the electrical wiring to the electrical equipment listed below has been examined and is approved as (;.)
6. being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
a) noted below and is issued subject to the following conditions. • to
Cc Owner: Date: V-,'
fi Leo Turly 11/12/2018 ''
:e st Occupant: ��
Same Location: A
Cca. 3 Bayberry Ct.
Cc' Occupancy Queensbury, Warren Co- NY •• '
Angle Family Dwg. �ikg
() Applicant: ��
21* Rob Lanfort l�
143 Flat Rock Rd. • )
CA Lake George, NY 12845 �l
t1
No Joseph A.Holmes
318014106921EL ._ . .- -... --- — Ffil7
T Equipment: Z)
%'1 -Sewage Pump W/Controlls .N.
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This certificate applies to the ¢I¢ctrical wiring to the electrical equipment listed immediately null and void, This certificate applies only to the use,occupancy and
r„� 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 (C•5
O inspection. No warranty expressed or implied as to the mechanical safety, effi- of the property indicated above,this certificate shalt be immediately null and void.i j
c1 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,
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 ��
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 ���)
(([yy[s,� any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. ;,X-
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Ij) DEC 13 2018 '1
TOWN OF iEL
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