electrical inspection RX Date/Time 09/24/2019 09:00 15182731202 P.004
"` No. 0801 P. 4/6
Sep, 24, 20 9 8V47A : MD I A, -�L::., �=;s;..,r.V.,.,
0MIDDLE DEPARTMENT INSPECTION AGENCY, INC. �r5
;e Cee that the electrical wiring to the electrical equipment listed below has been examined and is approved as
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( i being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date 1)
jja noted below and is issued subject to the following conditions.
j Owner: c->v
4Town Of Queensbury Date:
09/12/2019 0
Occupant; Jenkinsville Paris Location-I I
(�1Jenkinsville Rd •
$ Occu arc
;I p 'Services Queensbury,Warren Co. NY ��1�
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(J Applicant: �
Hour Electric Co., Inc. <-2
<<j . 30 East Street • ' ••
6�,1 PO Box 325 . • • rc�)
(,,,� L_Fort Edward, NY 12828 fir)
hj Joseph • J
�� N A.Holmes �-
o� • 145788114110EL •• ' . . • . fP
Equipment: ,•' - - (v�)
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t•�'�200-Amp.Service Equipment;2-4/0 Service Conductors . — 0 .. —ZO�t-1 �r�)
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i .- TOWN OF QUEENSBURY - <<
i�aj BUILDING&CODES `)
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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 (yJ'
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.C,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 Cy)
t.)) 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. r(1
/c deny 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, .•l
� be valid fora period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department ��:
�y 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 '
0 ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency. Inc.to initiate the inspection and revalidation• )
ljany of the components installed as of the above noted date,this certificate shall beprocess. A fee win be charged for thisk
n ry service.
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