final electrical inspection RX Date/Time 05/12/2020 13:35 15182731202 P.002
'�7 ,May, 12. 20204 1 : 18P : �:.MDIA No, 3559 P, 2/2
MIDDLE DEPARTMENT > � ,> w�
ENT INS 'ECTYON AGENCY, INC. 'e•
``%lIt', �C 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 G.X
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(; noted below and is issued subject to the following conditions. �•
Owner
Fred Smith Date; F
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05/04/2020 0
Occupant;
Same - Location: ":4
«.� 54 Luzerne Road
Occupancy- s`�'
p ySingle Family Dwg. Queensbury, Warren Co. NY ;
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Applicant: .e
, Fred Smith — Olbc-1 ' ZOI v ,
�j 23 Vermont Ave. •
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;; Queensbury, NY 12804 .
[7....;#1AY......13. 2020 y99
Joseph&Holmeski
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No. 318014111493EL .FoliVtJ Ol= Ecr` . ..SURY Ill ````:,9)
• Equipment: �� �9
CAI v 1 200 Amp. Service Equipment; 1 -4/0 Service Conductor, 45-Switches; 62-.Receptacles; 64- Fixtures; 1 -
4Burner, Wiring &Controls for Gas; 1 -20 Amp Dishwasher, 1 -30 mp Dryer, 2-Vent Fans; 5 Smoke Detectors; 13
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Arc Fault Breakers .
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%\ Thls certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies onlyto the use,occupancy ,;�
'�C=• gee and �4,) above and the installation inspected as of the above noted date based on a visual owrerghlp as indicated herein. Upon a change in the use,occupancy or ownership r��j
n) inspection. No warrantyexpressedp
\� spa is or implied as to the mechanical safety,effi- of 1�1e property indicated above,this certificate shall be immediately null and void. �.�)
'Er• ciency or fitness of the equipment for any particular purpose. This certificate shall In e event that this certificate becomes invalid based upon the above conditions,
7-,. 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 'A
",• system to which this certificate applies be altered in any way.including but not limit. Ins ecdon A Inc. An '=
; Agency, application for inspection must be submitted to Middle „9)
� ed to,the Introduction of additional electrical equipment and/or the replacement of De artment Inspection Agency, Inc.to initiate the Inspection and revalidation .ii
`'. any of the components installed as of the above noted date,this certificate shall be pro ass. A fee will be charged for this service. -`,
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