electrical inspection ISA uater lime Ub114/Z919 11:15 15182731202 P.003
c(» =z%"Jun. 14. 201910 53AM;; MDIA <- v;•...,.-,,�. No. 9198 P. 3/3
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ry,. MIDDLE DEPARTMENT INSPECTI i N AGENCY, INC. �',:
e that the electrical wiring to the electrical equipment listed below has been examined and is approved as •.,-
3j being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date A:,2
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g� noted below and is issued subject to the following conditions. J
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k? Owner: CO
eii Amber Keicher Date: �
06/11/2019 C
11 Occupant: � )
Solar PV System Location: (C',)
it Occu anc 887 Ridge Road (a
(t>1 p r_Single Family Dwg- Queensbury, Warren Co. NY �;��
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(5 Applicant: �=��
. New York State Solar Farm �;�
i�=j 871 State Route 208 ��-
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.>> Gardiner, NY 12525 _" ...- ALA a- O 1"�- _ Z�1 `(
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5 Joseph A.Holmes 4,9
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(,� 14551111_'11'40EL. . _ L .��� 4 2019 ' ;� C�
Equipment. i a. .q. � <<�
4 28-Solar Modulars;28-Micro Inverters; 1 =Summing•Panel;:1 -AC Disconnect, 1 Line-Side Tap-" -- ` �6
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>�1 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 fhb
Elil 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 0.
(=�� 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. ��i�=a)
�C:. clency or fitness of the equipment for any particular purpose. This certificate shell In the event that this certificate becomes invalid based upon the above conditions, C
.�: be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspectlon by Middle Department
(i..) 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
ji ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to Initiate the inspection and revalidation r(`�i
�c 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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