final electrical inspection RX Date/Time 05/21/2020 15:56 15182731202 P,002
May. 21. 2020 3: 39PM MDIA No. 3631 P, 2/4
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c MIDDLE DEPARTMENT INSPECTION AGENCY, .INC 6'4'
`Ve e,trt that the electrical wiring to the electrical equipment listed below has been examined and is approved as rN
' being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ,
10 noted below and is issued subject to the following conditions. rr
.,' Owner: Date: C��
1.7i. Matt Smith 05/12/2020 c`;
),.,r Occupant; Location: Gb
.0, Same 3 Seneca Dr.
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y; Occupancy• . Queensbury, Warren Co. NYC
Single Family Dwg.
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. Applicant:
Brothers Two Electric
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�t�k 384 Leroux Road C��
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Middlegrove, NY 12850 &,z,
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r. Joseph A.Holmes
' No. 145340117126EL
41
Equipment:
��'200 Amp. Service Equipment 4/0 Service Conductor; 34 -Switches; 64 - Receptacles; 58 - Fixtures; 1 -30 Amp Air
*.Conditioner 1 -20 Amp Dishwasher; 1 - Dryer; 2 -Vent Fans; 6 - Smoke Detectors; 33 -Arc Fault Breakers •
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TOWN OF OUEENSBUR'Yclti
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1 This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy end ��`
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 d;
rii4i inspection, No warranty Is expressed or implied as to the mechanical safety,effi- cf the property indicated above,this certificate shall be immediately null and vold. 1�
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dency 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, ,•'��
�ikistf 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 Depertmsnt �,;e,
A 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 h;
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to Initiate the inspection and revalidation F(iJ5
(Ca any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. C
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