electrical inspection RX Date/Time 11102/2021 13:04 15182731202 P.005
Nov. 2._202 12_39P MDIA No. 8288 P. 5/5
DIDDLE DEPARTMENT INSPECTION AGENCY, INC.
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:
Occupant: Ronald Morehouse 0812W021
Location:
Mobile Home Occupancy_ 66 Ohio Ave_
r- Single Family Dwg. Queensbury,Warren Co-, NY
Applicant. , -1
Rorteld Morehouse :.....__: . .,..,
66 Ohio Ave. -
Queensbury, NY 12804 .' „_........... ... .... `
J
Joseph Holmes
No. ..._
Equipment: '318014154521 EL.
. ... .... ........_.. . b -?Ja21
200 Amp Service Equipment;4/0•Service Conductor, 100 Amp Feeder.. ...to.. Nome .V4 3
o
:..... ...._......,,_ :......._.._•• TOWN OF OUEENSSURY
3UILUNG CODES
This certificate.applies to the electrical wiring to the electrical equipment listed Immediately null and void- This carificate applies only to the use,occupancy and
above and the instsllatlon inspected as of the above noted date based an a visual ownership as indicated herein. Upon a change in the usd,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,of l- of the property indicated above,this certificate shall be immediately,null and void.
otency or fitness of the equipment for any particular purpose. This certiffoats 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 the electrical this certificate may be revalidated upon reinspeetion by Middle Department
system to which this certificate applies be altered in any way,including but 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
arty of the Components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.