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electrical inspection that the electrical wiring to the electrical equipment fisted below has been examined and is approved as
being in accord with the National Electrical Cade, applicable governmental, utility and Agency rules in effect on the date
Hilted below and is issued subject to the following conditions.
Owner: Date:
Prime Construction 12113/2023
Occupant: Location:
Laundry Area 6 Antler Rd.
Occupancy•Single Family Dwg, Queensbury, Warren Co. NY
a r I _
Applicant: ]
Marshall Girvin El,
Marshall Girvin
323 Fayville Road
L Galway, NY 12074: J'
i
Michael Adams
No.
1475271 i3'34�7 L
Equipment-
3-Switches-, 3- Receptacles,,6 - Fixtures
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 instal€anon inspectedf as of the above noted date based on a visual ownerehip 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 shalt be immediately nu€I and void.
cfency 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,
be valid for a period of one year from the above noted date. Should the electrical this cartifiaato may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered fn 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 andlor 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 oertificate shall be process. A fee will be charged for this service.