Final electrical RX Date/Time 09/20/2021 12:28 15182731202 P,003
Sep, 20. 2022 12:04P MDIA No, 7865 P. 3/6
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
n�rles 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:
Ray Every 09/07/2021
Occupant: Location:
Addition 24 Stone Hurst Drive
Occupancy:Ingle Family Dwg. Queensbury,Warren Co. NY
�
Applicant:
Northeast Elec. Solutions LLCM
151 Stone School Rd. �d
Lake George, NY 12845 p�
L_
lID .
Joseph A.Holmes
N0" 146708151963EL
Equipment:
7-Switches; 10-Receptacles; 9-FixtUt•es; 1 -Arc Fauit Breaker " D 2 0 V IE
SER 2 1 -2021
TOWN OF QUEENSBURY
BUILDING&.CODES
This certificate applies to Me electrical wiring to the electrical equipment 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 Dased on 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 safety,effi- of the property indicated above,this certificate shall be Immediately null and void.
Clancy or fitness of the equipment for any patticular purpose. This certificate shall in the event that this certificate becomes invalid bayed upon the above conditions,
be valid for a period of one year from the above noted data. should the electrical this certlflcate may be revalidated upon rsinspection 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 Ds submitted to Middle
ed to,the introduction of addltlonal electrical equipment and/or the replacement of Department inspection Agency, Inc. [o initiate Me inspection and revalldetion
any of the components Installed as of Me above noted dials,this certificate shall be process. A fee with be charged Por this service.