Final electricalMIDDLE DEPARTMEINT INSPECTION AGENCY, INC.
the electrtcai wiring to the electrical equipment listed below has been examined and is approves;
being in accord with the National Flactricai Code, applicable gov9mrnantai, utility and Agency rules in effect on the dW
noted beiow and is issued subject to the foilowing conditions.
Owner: Unknown Date:
08143I2023
Occupant: Back of House Location44 I
Queen Ann Court
Occupancy- . Queensbury, Warren Co. NY
Ingle Family Dwg.
Applicant:�
Palmer Solutions
52 Harrison Ave., Apt, 1
Glens Falls, NY 12803
Ray Novak Jr.
No. 149122181.496Et
Equipment:
1 - Switch; 1 - GFCi Outlet; T- Timer
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This certificate applies to the electrical wiring to the electricat equipment listed immediately null and void, this certificate applies only to the use, occupancy 6-
above
and the instatfation inspected as of the aiiove noted date based on a visual ovenershrip as indicated herein. Upon a charge in fete use, occupancy or owners: inspection. Rio warranty is expressed or Implied a$ to the mechanical safety, efii- of the property Indicated above, this certificate shall tie immediately null and ve cfency or fitness of the ecluipmenf for any particuiar purpose. Tf;is cer8f#cate shah In the event that this certificate becomes invalid based upon the above conditic
be v0d for a period: of one year from the above noted da?e. Should the electrical this certificate may be revaiidated upon relnspeetion by Middle pepart;nt � systems 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 Arid:
ad b, the introduction of additional electrical equipment andtor the replacement of Department Inspection Agency, Inc. to initiate the inspection and revatidat.: any of the components installed as of the above noted date, this cei#ificate shall he process. A fea will be charged for this service.
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