electrical inspection RX Date/Time 07/21/2021 08:59 15182731202 P.002
Ju1. 21. 2021 8:36A MDIA No. 1348 P. 2/6
NIIDDIJ� DEPA.R�'��N`�" INSPECTION AG�NC'Y, IN'C.
�rt�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: Joe Pickering Date:
07/01/2021
Occupant. Locatio
Sewage Pump n3 Palmer Dr.
Occupanc Ingle Family Dwg_ Queensbury,Warren Co. NY
Applicant:
Mitch Humiston
PO Box 364
Ganesvoort,NY 12831
Joseph A.Holmes
No. J......
�032280153.084EL
Equipment: — • -- - — — —• — —. •- - . .
ewage Pump&Controls 2)
i. JUL 1-1,
TOWN OF QUEENSBURY
B.UiLDINCj.&•'';ODES
i
This certificate applies to the electrical wiring to the electrical equip ent listed immediately null and void. This certificate applies only to the use.occupancy and
above end the installation inspected as of the above noted date based n 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 afaty,etfi- of the property indicated above,this certificate shall be immediately null and void.
aency or fitness of the equipment for any particular purpose. Tnis cart rieate shah to the sent that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should. electrical this certificate may be revalidated upon relnspectlon by Middle Department
system to which this certificate applies be altered In any way,including bpt not limit- Inspection 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 ceNficate shalt be process. A fee will be charged for this service.
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