electrical inspection =' ��Oct, 19, 20229— 1 ;28MMMDIA No, 0326 P. 2/5
MIDDLE DE TMENT INSpECTIO eT AGENCY, INC.
`!Z 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_ Steiber Date:
10/14/2022
Occupant: Ist FI. &Basement
Locatio
Timmons Ln-
OccupancySingle Family Dwg. Queensbury,Warren Co, NY
Applicant
Julia Steiber
5 Timmons Ln.
Queensbury, NY 12804
L
Joseph A.Holmes
�o• 318014172826EL
Equipment:
3,10 -Switches; 54-Receptacles;42-Fixtures; 1 -Burner,Wiring &Controls'for Gas;I -Septic Pump; 1 -
Dishwasher, 1 -Vent Fan; 6-Smoke Detectors; 1 - 100A Sub Panel; 10-Arc Fault Breakers
OCT 1 2022
TOWN, oF C UEEs"�lSB Y
BUILDING Ct�Aa�Ea
...v
? y T"is certificate applies to the electrical wiring to the electrical equipment listed immediately null and void, This certificate applies only to the use,occupancy and
uove and the Installation inspected as of vie above noted date based 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,aRi- of the property indicated above,this certificate shall be immediately null and void.
aancy or fitness of the equipment for any particular purpose. This certificate shell In the event that this ceffleate becomes Invalid based upon the above conditions,
h=valid for a period of one year from the above noted daft. Should the electfical this certificate may be revalidated upon reinspection 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
ec io,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the Inspection and revalidation
ary 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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