electrical inspection ,;,Oct. 29. 2019. 10; 26A ... ,�.MD'.A No. 1462 P. 4/7
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e• MIDDLE DEPARTMENT INSPECTION AGENCY, INC. .
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Lo o a that the electrical wiring to the electrical equipment listed below has been examined and is approved as Ca�
= being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ,.iv)
a noted below and is issued subjeci to the following conditions. y
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7... Owner:
Sherwood Achers Const. Date' 10/23/2019 Cad
r�� Occupant: Services Location:
Glen `,
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Hall Road Ext P)
���.,� Occupancy! . Queensbury, Warren Co. NY ;11'
`5� Ingle Family Dwg. ��
�a Applicant. `
William Bartholomew r,'<
(� 80 Brampton Road
Ganesvoort, NY 12831
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. Joseph A.Holmes c
No.
��, 032708105214EL
Equipment: LLC t.A•1\ — V "4,
aa1200 Amp. Service Equipment; 4/0 -Service Conductor; 44 - Switches; 54 Receptacles; 46 - Fixtures; 1 50 Amp y,
- Air Conditioner; 1 - Burner, Wiring & Control For Gas; 1 -Well Pump; 1 - 30 Amp Dryer Receptacle; 3 -Vent Fans; 7 -
, Smoke Detectors; 13 -Arc Fault Breakers F�
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�yz OGT3020t3 ��
TOWN OF QUEENS
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BuiwiNG& CODES
�� 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 `:
441)Cj'; 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 �JJ
inspection. No warranty is expressed or implied as to the mechanical safety, effl- of the property indicated above, this certificate shall be immediately null and void. 49
`.); ciency or fitness of the equipment far any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions. ,(
pY; be valid for a period of one year from the above noted dale. Should the electrical this certificate may be revalidated upon reinspection by Middle Department .h
0 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 "�JJ+.1
t') act to. the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation (:.
r< any of the components installed as of the above noted date.this certificate shall be process. A fee will be charged for this service. (f�
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