electrical inspection RX Date/Time 03/15/2021 13:34 15182731202 P,003
Mar, 15. 20211 1 : 13P MDIA No, 6024 P. 3/3
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
ii5 ty 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
noted below and is issued subject to the following conditions.
Owner: Date:
Snide 03/09/2021
Occupant: Location:
Laundry Room 23 Glenmar Dr.
Occupancy;, Queensbury,Warren Co. NY
Single Family Dwg-
Applicant:
Snide
2 Nova Ln.
Queensbury, NY 12804
L
No.
Joseph A-Holmes
318014150464EL
Equipment:
4-Switches;5-Receptacles;6-Fbdd�es 0 00— ZOz0
[ C E0ME
MAR 15 2021
TOWN OF QUEENSBURY
BUILDING& CODES
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
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
Inspection. No warranty is expressed or Implied as to the mechanical safety,effi- of the property indicated above,this certificate shalt be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this ceri ficale 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 be revalidated upon reinapectlon by Middle Department
system to which this certificate applies be altered In any way,including but not Iln*-' Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed 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.