electrical inspection P,002
RX Date/rime 06/0812021 13,23 15182731202 No, 6893 P, 2/4
Jun, 8. 2021' 1 :06PNMMDIA
.MIDDLE DEP.AP7 ENT INSPECTION AGENCY, INC.
��s�a that the electrical wiring to the lectrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Cod , applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the followin conditions.
Owner: Matt Ball Date:
05/25/2021
Occupant: 1St Floor Locatio
0f7 Michaels Dr,
OccupancySingle Family Dwg. Queensbury,Warren Co, NY
Applicant: I �
Crannell Elect, Design &Const
PO Box 4074
Queensbury, NY 12804
Joseph A.Holmes
No. 141554149155EL ' 3l" Zo Z o
Equipment:
34-Switches; 64-Receptacles; 48=Fixtures; 1 mer, Wiring &•Controls; 1 -Dishwasher, 2-Vent Fans;6-
Smoke Detector;23-Arc Fault Breaker
: . JUNA 9 2021. .-'
TOWN OF4QUEENSBURY
• BUILDING&COD'S
Trds certificate applies to the electrical wiring to the electrical equip nt 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 o 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 ty.effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This ce fi to shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date, Should a electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including 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 reel ement of Department inspection Agency, Inc.to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certific I shell be process. A fee will be charged for this service,
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