final electrical RX Date/Time 04/29/2020 10:01 15182731202 P,002
'Apr, 29. 2020 9 44A ;MD IA: �, q,z.y No. 3510 P. 2/3
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MIDDLE DEPARTMENT �,�� ..��,z . , .,...Aeh - ;4•
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INSPECTION AGENCY, INC. F
i -.that the electrical wiring to the electrical equipment listed below has been examined and is approved as yam•
Gtea being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect
noted below and is issued subject to the following conditions. on the date �.`��
Mtn '
w Owner ��
AGL Homes Date: 04/16/2020 '
Ce`�
Occupant:
Service Location �,
•Y� Occu anc 175 Adirondack St y
Queensbury, Warren Co. NY
a
r Ingle Family Dwg. I
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is Applicant: �c�
Xi Rob Lawrence
i 4305 Ann Caldonia Rd. c��
Caldonia, NY 14423 - •• t' ''' d
•
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�� Joseph A.Holmes.: h
No. 2 ea
— 147430119468EL ••• _ ZLS (� `
Equipment: - - • -"=• 71:e'
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�1 2-100 Amp Disconnects " v�1` .100 Arnp Feeder To Home- Y
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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 a4�
4above and the installation inspected as of the above noted date based on a visu I
), inspection. No warranty is expressed or im li a owtlers rp er indicated herein, Upon a ctfenge in ill use,mediatncy or ownership � �
,� p ed as to the mechanical safety,etfi• of I{1a property Indicated above,this ce
a ciency or fitness of The equipment for any particular purpose. This certificate shalls invalid
shall based Immediately null antl vois.
be valid for Ins me event that this cerievali becomes invalid upon the above eparimen,
�� period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department ���
`(�'1t^Zr 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 F.
,1 ed to.the introduction of additional electrical equipment andfor the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation a
�.; any of the components Installed as of the above noted date,This certificate shall be r v�
h• process. A fee will be charged for this service. .
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