electrical inspections ,�}, Hug, 1J, 1U�1 Z3='. 1 14P-.; U1A �, �,, .,;.,,,,. �- ,t �,,ye�. -.�cw �:,��., .- .:,N0. 47 67 ;`P• $/12.Tr?;
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0. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ??
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�r3xt</as that the electrical wiring to the electrical equipment listed below has been examined and is approved as ��
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' 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. <<l
Owner: • Date' )
0Cerrone Bldrs 08/15/2018
Occupant: location= �k�
�,� Basement 42 Devin Court Km
C�) Queensbury, •
Warren Go_ NY <<?5
Occupancy Single Family Dwg_ r 0
rea
>> Applicant sp-
.. Cerrone Builders • .
<� Gianni Cerrone 4• C. • �c>>
c.4 1589 Rt 9 :.:. ;' ....: • t;?�
Ct;� r l
`,- L Fort Edward, NY 12828 . • •1 ,.j
c)
�) Joseph A.Holmes•.: �'�
0 No. ..:. .,• • • • �r`.�)
45314103302E12
'it• Equipment: • (,
�� 10-Switches; 10- Receptacles; 13;•Fiictures;1 -Vent Fan;3-Arc Fault•Breakers •:::: F
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�� • ��
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•
'' 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 ,,��•
0 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)
binspection. No warranty is expressed or implied as to the mechanical safety,ettl- of the property indicated above,this certificate shall be immediately null and void.
clency 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, �t�r>>J�
47 be valid far 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 altered in any way,including but not limit- Inspection Agency,inc, An application for Inspection must De submitted to Middle (h>> •
z") c
ed to,the introduction of additional electrical equipment and/or the replacement or Department Inspection Agency, inc.to initiate the Inspection and revalidation `S
any of the components installed as of the above noted date,this certificate shall be process. A Ise will be charged for this service. (��
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- - (2"C.--412tO - 20tr3.
•
AUG 2 3 2018
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TOWN OF QUEENSBURY
BUILDING&CODES •