final electrical inspection RX Date/Time 12/2V2020 13;41 15182731202 P,002
` Dec, 21. 20201 1 :21P MD.IA No, 5589 P. 2/7
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MIDDLE DEPARTMENT INSPECTION AGENCY, INC
'eoa4e,,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 e .act on the date
noted below and is issued subject to the following conditions_
Owner. Date:
Bob Gammuh 10/21/2020 i
Occupant: i
p Service Location:
9 Parkview Ave
Occupancy: Ingle Family Dwg. Queensbury,Warren Co. NY
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Applicant:
Gammon Construction LLC . .:.••••.•.•••.,. . : _ "`�
30 Clement Ave_
Saratoga Springs, NY •1286.6
y I•I , 14 I
2
Joseph A.Holmes
14401311311 B EL __ _ ._ 1-'`-'S I q I -. J
Equipment:
200-Amp. Service Equipment;410-Service Conductor;39-Switches;56'-Receptacles; 62-Fixtures; 1 - 0 Amp
Air Conditioner, 1 -Sumer, Wiring & Control; 1 -20 Amp Dishwasher, 1 -$0 Amp Receptacle; 2-Vent Fans 6-
Smoke Detectors; 19-Arc Fault Smokers.-
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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; se,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,occu arty or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effl- of the property indicated above,this certificate shall be lmmetl ately null and void. )
ciency or frtness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes Invalid based upon th 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 iddle Department
system to which this certificate applies be altered in any way.including but not limit- Inspectlon Agency,Inc. An aDplication for inspection must be ubmitted to Middle
ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc,to initiate the inspecti,o i 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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