eletrical inspection P.002
RX Date/Time 0711212021 09:23 15182731202 N0 7205 P. 2/4
Jul. 12. 2021� 8:59AUMMEN
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
'ee,q+ 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-
Jamie&Mary Bell 07/06/2021
Occupant: Location_
Garage 323 Luzeme Road
Occupancy-Ingle Family Dwg. Queensbury,Warren Co. NY
Applicant:
Precision Const
8 Conwar Drive
S. Glens Falls NY 12803 I,•.
-2CZtJ
No. Joseph A.Holmes r(.11 [ElV
318014152258EL
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Equipment: ju 12 202'I
4-Switches; 14-Receptacles; 14-Fixtures' TOWN OF QUEE ISBURY
BUILDING CODES
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This certificate applies to the electrical wiring to the electrical equipment listed immedlately null and void. This certificate applies only to the use,occupancy and
above and the Installation inspected as of the above noted date based Ion a visual ownership as indicated hereln. 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 intliceted above,this certificate shaft be immediately ouil and void.
ciency or fitness of the equipment for any panlcular purpose. This certificate shall In tete event that this certiftate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should ll{e:electrical this certificate may be revalidated upon reinapection by Middle Department
system to which this certificate applies be altered in any way.including V.ui 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 certificate shall be process. A fee will be charged for this service_
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