final electrical inspection RX Date/Time 07/07/2020 15:08 15182731202 P.003
y;�Ju1, 1. 2020., 2:51PM<,:,,„MDIA No, 4038 P. 3/3
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c1 MIDDLE DEPARTMENT INSP TION.AEG NCY, INC.
tti t•that the electrical wiring to the electrical equipment isted below has been examined and is approved as (
k being in accord with the National Electrical Code, applicable govern' ental, utility and Agency rules in effect on the date<< noted below and is issued subject to the following conditions.
-' Owner: 10.1
'
tea) Carter Dat-:
�� 06/30/2020
(
Occupant: 02
I�.`,aj Addition Loc,tio r.'
0 Michigan Ave • c?
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Occupancy.Ingle Family Dwg. Queensbury, Warren Co. NY
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j Applicant: Gauthier Skilled Craftsman
q,' Shawn •Gauthier fir.,)
45, 15 Mt Mcgregor Rd 0
�b L Gansevoort, NY 12831 . ... C5
CA
Joseph A.Holmes J�
No. .
��;1 147571120235EL )
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� ) Equipment: `�
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p3-Switches; 3-Receptacles;2-Fixtures; 1 -Arc Fault Breaker • - .
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,
0,- i 0JUL Q 9
i4�) TOWN tiSSURY �'�
B LI I L D I Nl G& CODES
a� �C 00l - aozim •
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,. . 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 ����
0(L 1 above and the installation inspected as of the above noted date based on a visual ownershic 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, 6
�?�� ciency or fitness of the equipment for any particular purpose. This certificate shall In the even.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 earth it ate may be revalidated upon reinspecrion by Middle Department �,�.C4 system to which this certificate applies De altered in any way,including but not limit- Inspector Agency,Inc. An application for inspection must be submitted to Middle <<)/
ad to.the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc, to initiate the inspection and revalidation•
any of the components installed as of the above noted date,this certificate shall be process, A fee will be charged for this service.
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