electrical inspection RX Date/Time 12/30/2019 09: 11 15182731202 P.003
Dec. 80. 2019 8: 56AM M)IA — — — V-�, 2270P.
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MIDDLE DEPARTMENT INSPECTION AGENCY, INC. .syl
..-that the electrical wiring to the electncal equipment listed below has been examined and is approved as
a being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
t� noted below and is issued subject to the following conditions. r iI
a
' Owner: Date: , -.
�a Aldis 12/13/2019 G:�)
N`' Occupant: Location: '
(k. Same 763 Glen St ���
r Occupancy: Services Queensbury, Warren Co_ NY S
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4 �Applicant: CC - 0 2L' - -2,p 1 1 r.y
T&J Electrical _ etz
fki 5 Fairchild Square ' .r • e4
�rh' Suite A . •• • (G
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L Clifton Park, NY.�2065 .. ... ��
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Joseph A-Holmes ,�,.: ..,,. G
y�� No. 001762116649E1. • •
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'• Equipment: . ...
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� 1 - 1000 Amp Service Equipment.1 400 Amp Service Equipment,4 350 Amp Service Conductors; 2-4/0 Amp
Service Conductors I j i l; tp
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t4 , 'NG. CQ 8 45
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Li This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This centficale 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 flat
(w 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. (t;�)
4.. ciency 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, FA.
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 1.r,1
•., 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 It
4.4 ed to,the Introduction of additional electrical equipment and/or me replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation• Gil
�Y., 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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