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electrical inspection RX Date/Time 09/24/2019 09:00 15182731202 P,003 ;•,:x,:, Sep, 24. 2019, 8:47A _,_. MDIA No. 0801 P, • 3/6 r�J i - .s._r.,i.�. s,�✓.^v ti. C J �� w^Cr�<� </i\��\ �i\„:„ :r-�,_.,•,:,.•,...r^• r. r- ✓•✓-._r•-- Ate. -. (v,� MIDDLE DEPARTMENT INSPECTION A,G NC"Y, INC. •� (41 fir') rtes that the electrical wiring to the electrical equipment listed below has been examined and is approved as -� ;�) being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date �' (4; noted below and is issued subject to the following conditions. r�) �� Owner: David Judklns • Date: 09I1612019 `Kl Occupant; Location: �r^:� r�O Same '15 Genista Lane "� (.0 occupancySingle Family Dwg. Queensbury,Warren Co. NY crj a) 4 (4. Applicant: >> P-; William Bartholomew • 1�� • 080 Brampton Road • ' ' ���� ��% Ganesvoort, NY 12831 . • . . k• L .. J • c,r� I • 7�j ,(cO Joseph A,Holmes • • . Q ,,;a, 032708107.580EL • �,'. Equipment: n C .©5� — ZSJk1 • fKg A" C;» Pa P R Switch); CC) ( 200-Amp. Service E ui ment ransfer' 4/0 -Service Conductor 53-Switches; 58-Receptacles;42- ���� j ;Fixtures; 1 -30 Amp Air Conditioner, 1 -Burner,Wiring&Controls(Gas); 1 -Well Pump; 1 -_20 Amp Dishwasher; 1 - -,- •q=1 • . . Ni • 'S 30 Amp Dryer Receptacle;3-Vent Fans;7-Smoke Dete - Ic a -u • c Fault Breakers •• `�'� SEP 2 4 2019 j C,) �?) • , TOWN•OF QU.EENSBURY ffj : • . '•••• • •BUILDING&CODES 4 (eC� 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 ��) (Y 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 l;) (;1) inspection. Na warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be Immediately null and void. fC6� (G� 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, %'• be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon relnspectlon by Middle Department �yd� (L) 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 )J (�.) ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the Inspection and revalidation 1(J� . (,) any of the components Installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. '�' 6:.• : <i,>::i �Xi%:••!n: :F G r_ •r:airi%4•4% �;i%;i i� ^ �':1 ••'-�k.;_: ,�^�r��`��~:',x-\^�`i'1`4�: --,•>, i.:J is �:�✓..%. ✓ ✓ ,.r:`✓7^✓� i- i ..r.ei`.��•�r_