electrical inspection RX Date/Time 04/14/2022 11:08 15182731202 P,005
\�:< • Apr, 14. 20 22 10;41A MIA
1•r22 P. 5/8
�� v ,_ m0rvis✓ :w ;VvanY �n v `%=�C-.0 ^:v's :�r-'
lN�v--
'J, k ..ram/ � i�%'�n�lY�2: Gvr .• ,.
Atz
MIDDLE DEPARTMENT INSPECTION AG NC r INC. <
Wort as that the electrical wiring to the electrical equipment listed below has been examined and is approved as C
•
4'e being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date y�
a noted below and is issued subject to the following conditions. 0
Owner: AGL Homes Date_ 03/30/2022
>> Occupant: Feeder to Home Location-
116 Adirondack Ave. �;
zoccupancy- ingle Family Dwg. Queensbury,Warren Co. NY • ()
c)
Applicant: Mr. Electric of Queensbury • 4
•
••
EC. -6545 20 2.4 . 4Jeanne Dion , .
PO Box4304 - ••• 4�
L Queensbury, NY 12804 • • • • J •• .
rye
•
a Joseph A.Holmes ' '
9 No_ 147269158591 EL ��
_ .. - - - - _ 7�
Equipment: •
'
.100 Amp. Feeder to Home "• 0
a
••
��
•
�y
%�� 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 installation Inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership �i�'
. 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.
�fciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, Cr,
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 Departmiddle �ent I
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 M
;� ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation C�
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
CJ
�h�
:. i:�%..k./6 nfe_7.r•% ./�Y. 1'.%Y(•.;k:�r,:.rr`�-.i• „r k S- ✓ �_�r-'.'�.-al,en/�./`•�e%�•i % ��4••- =�� %,••� � - - \'s�