final electrical inspection RX Date/Time 08/10/2020 13:56 15182731202 P.007
zi, Aug. 10. 2020 ,1 ; 38P .,--.MDIA No. 4364 P. 7/9
(C MIDDLE DEPARTMENT INSPECTION AGENCY04
, INC. ^S�?
� �rles that the electrical wiring to the electrical equipment listed be ow has been examined and is approvedC('-5
as .-
i�j being in accord with the National Electrical Code, applicable governmental, t tility and Agency rules in effect on the date(j noted below and is issued subject to the following conditions. ,.
1r:
( Owne.. Stewarts Date: 0
•
07!23/2020 7)
Ce.2 Occupant:
(�• a Gas Tanks Location402 Bay Road -?�
Occupancy on-Residential Quensbury,Warren Co. NY r�-�`
JrApplicant:E
�"
( )
. R. M. DalrympleCo., Inc. .
C
• rc�
(��j 15 Grace Moore Rd • ��'�)
Cep <<
Saratoga Springs, NY 12866 •
'o)
C;-j • -1
> Joseph A.Holmes ' A -4 Q 51-�6 2%3 Cri
(. No.
\� 141154131582EL
•
�c Egldipment: -. •
>�3-Submersible Pumps; 1 -Power Intergrity System; 1 -Dispensor •.. •• •• ••• �y)
Cv
N • " ' AUG 1'1 2020
Li • • •
(�;� • • • . •
•1-QVIffV (�F C�IJEEI<9SBl1RY
(1 BUILDING&COeS `�`��
(4�) �)
Ica ' ,
t
rr
This certificate applies to the electrical wiring Co the electrical equipment listed immediately null and oid. This certificate applies only to the use,occupancy and ?^>>
�C�) above and the installation inspected as of the above noted date based on a visual ownership as indica=•herein. Upon a change in the use,occupancy or ownership (J(() inspection. No warranty Is expressed or implied as to the mechanical safety,effi- of the property indite ed above,this certificate shall be immediately null and void. 4(f., ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this .rtificate 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 •a revalidated upon reinspection by Middle Department./, system to which this certificate applies be altered in any way including but not limit- Inspection Agency,I . An application for inspection must be submitted to Middle
kfed to,the introduction of additional electrical equipment and/or the replacement of Department Inspect'.fi Agency,Inc.to initiate the inspection and revalidation (.J)
(C.� any of the components installed as of the above noted date,this certificate shall be process. A fee will b.clarged for this service. EJ
�'.`.%\ v � � '✓ ✓ r� .. r - ice:,^ '1•' •v y.
4,r-�'.. :� �.'•�'.\ n./,�_�,rS.�i: .�.ri;v5,�:-%1�!e'/.V:�.�.'�'nlL�.i:\:= ':'✓:a%•%;v`;v`:%:�;;,,i��."•„