electrical inspection RX Date/Time 09/24/2019 09:00 15182731202 P.006
^ ,Sep, 24. 2019 8:47A .:;;,.;,,MDIA.:_., No, 0801 P. 6/6
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:� MIDDLE DEPARTMENT INSPECTION AGENCY, INC- �
ko ee that the electrical wiring to the electrical equipment listed below has been examined and is approved as <<)
«aj being in accord with the National Electrical Code, applicable governmental, utilityand Agency rules in effect on the date aj
r noted below and is. issued subject to the following conditions. 9 Y �)
�� Owner: 6
i<.j 70 Richmond Hills Dr Date: 09/16/2019 ��
• Occupant: Location:tr:) Hoderowski /0 Richmond Hills Drive
,ra 6KY- Occupancy Single Family Dwg. Queensbury,Warren Co. NY OP
�<<a Applicant:
�? M.AD. Electric, LLC ���)
0 ' 89 Ashdown Rd. • . j
��
Ballston Lake NY 1201.9',
T`�� L J
Joseph AHolmes •
. 6
Ce No. •141478111901 EL . 1
•
e Equipment: _ • • 2?v •
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i1200-Amp. Service Equipment;4/0-Service Conductor;46'-Switches;78 - Receptacles; 51 -Fixtures; 1 -Burner, � �1.W,VVIring & Controls Gas ; 1 -20 Amp Dishwasher 1 -30 AmpD er Rece tacle• 2-Vent Fans;7-Smoke Detectors; 1
�� -Whirlpool Tub:, -Arc Fault Breakers Dry
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• To VI; QUEENSBURY Cj 0BUILDING____ &�ODES Cf l
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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 >:.
lA 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 Q)
C�J) inspection, No warranty is expressed or implied as to the mechanical eatery,etti• of the property Indicated above,this certificate shall be immediately null and void. �Gj)
^ aency or fitness of the equipment for any particular urpose. This certificate shall the Event that this certifcate becomes invalid based u n the above conditions,
:a p �° rC�1 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 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 \E)
k,' ea to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency,Inc,to initiate the inspection and revalidation '(�j
r- any 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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