electrical inspection Oct. 16. 2017�12: 21P MDIA No• 0455 P• 2/6
MIDDLE DEP.A,R7'1��NT INSPECTrON AG�NC�, INC.
that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being 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.
Owner Gammon Const. Date: 10/11/2017
Occupant: Same Location-
22 Parkview Ave
OccupancySingle Family Dwg. Queensbury, Warren Co. NY
Applicant. �
Gammon Construction LLC __. --•--•-•.____.
30 Clement Ave.
Saratoga Springs, NY1.28,E 6':� . .Y, �.- -•, ,:
Joseph A-Holmes
No. :144013201Z68EL
-'- - - - - - - - - - - -. - - - - - - - - -
Equipment: -
200-Amp. Service Equipment; 4/0-,;.Service-Condp'ctor,-38---6vvkt t es 64 Receptactes; 51 - Fixtures; 1 - Burner,
ce
Wiring & Control; 1 -20 Amp.Dishwasher Reptacle; 1 -20 Amp. Washer Receptacle; 1 -30,Amp Receptacle: 2-
Vent Fans; 6-Smoke Detectors;.1.1•=Arc fault Breakers '
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
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
inspection. 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.
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
any cf the components installed as of the above noted date,this certificate$hall be process. A fee will be charged for this service.
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OCT 1 b 2017
TOWN OF D NG&CODES Y
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