electrical inspection RX Date/Time 03103/2021 10:13 15182131202 P.003
Mar. 1202 1 9_52AMDIA` No. 5915 P- 3 -
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
1�etiPces 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
noted below and is issued subject to the following conditions.
Owner: Date:
Nemer Jeep 02/23/2021
Occupant: Location:
Addition 728 Quaker Rd.
Occupancy: Queensbury,Warren Co.NY
rAlon-Residential �
Applicant:
Hilltop Construction
Cindy Albrecht " 05 " 2020
51 Crowley Rd.
L Hudson Falls, NY.12839' J
No_ Joseph A_Holmes'-;
_145262150047EC
Equipment:
4-Switches;20-Receptacles; 16-Fixtures, 5-Garage Door Openers; 1 - Exit/l.n.ergency Light Combo,; 1 -240
Volt,30 Amp Cord Drop; 1 -240 Volt,-,20.Amp Lift; 1 -30 Amp Exhaust Fan; 1 -60�Arhp Welder; 1 -100 Amp Sub
Panel {
..MAR..O...�" 20�1
TOBUILDFNG&CODES ENSBURY
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. TNs certificate applisa only to the use,occupancy and
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
Inspection. No warranty is expressed or implied as to the mechanical safety,ef0• of the property indicated above,this certificate shall be Immediately,null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that mis certificate becomes invalid based upon the above conditions,
be valid fora period of one year from the above noted date. Should the electrical this certificate may be revalldaled upon rainspection by Middle Department
system to which this cartificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be§Wmllted to Middle
] ad to.the introduction of addiGansl electrical equipment and/or the reDrecament of Department Inspection Agency, Inc. to Inldate the inspection and revalidation
tiny al the components instarled as of the above noted tlate,this esrtificete shall be process. A lea will be charged forthis service.