electrical inspection RX DateM me 0712112021 09139 15182731202 P,008
'Jul. 21, 2021- 9; 17AN� MDIA No. 7383 P, 8/9
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
lc that the electrical wiring to the electrical equipment listed below has been examined and is approved,•a's
being in accord with the National Electrical Code, applicable 90Vemmental, utility and Agency rules in effect on the`date
noted below and is issued subject to the following conditions.
Owner Mitelman Date:
07/09/2021
Occupant:Same ; Locatio
5 Garrison Road
Occupancy.ngle Family Dwg_ Queensbury,Warren Co. NY
r
Applicant:
Northeast Elec_Solutions LLCM (� Q
_....
151 Stone School Rd. I '• • • • .. '
Lake George, NY 12845 �... ;.. '.: .. •..:_ :..'..... :• JUL
L J• :T pwN
21 �021
Joseph A.Holmes eUILDlNG or
&EENSB COD URY
No. _14670811-7280EL �J
Equipment: — � � _2 t
00 Amp. Service Equipment;4/0 Service Canductor,'68-4- itches;*79 Receptacles;'I58-Fixtures; 1 -Range; 1 -
r Conditioner; 1 -Burner, Wiring & Controls for;Gas; 1 - Dishwasher, 1 -Dryer, 8-Smoke Detectors; 13-Arc Fault
Breakers
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 installetion inspected as of the above noted date based on a visual ownership as Indicated herein. Upon a change in'Me use,occupancy or ownership
Inspection, No warranty is expressed or implied as to the mechanical safety,elfl- of the property indicated above,this certificate shell be Immediately null and void.
ciency or fitness of the equipment for any particular purpose, This'certillcate shall In the went 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 reinspection by Middle Department
system to which this certificate applies be alferad in any way,including but not limit- 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 revalldation
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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