electrical inspection RX Date/Time 12/17/2021 10:17 15182731202 P.006
Dec. 11. 20211 9:52AMMMDIA �-
No. 8446 P. 6!6
MIDDLE DE ENT INSPECTION AGENCY, INC.
lieen�&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 Homestead Date:
12/lsizo2l
Occupant: Mobile Home Location
79-80 Alpine Drive
Occupancy'Service Queensbury, Warren Co. NY
Applicant r
Mr_ Electric of Queensbury
Jeanne Dion :••"'"
PO Box 4304 :.
L Queensbury, NY 128p4` J
Joseph A.Holmes ' DEL
No.
14726,915666.6EL„- --..._.... . _ TOWN 0 'QUEENSSURY
Equipment: '
SUILCIIVG&COIJES
2-100 Amp Disconnects;2-100 Amp"Feeders
all
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
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,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certiticate shall In the event that this cerAcats becomes invarrd based upon the above conditions,
be valid for a period of one year iron the above noted date. Should die electrical this certificate may be revalidated upon reinSOection by Middle Department
System to which this certificate applies be.altered in any way,including but not limlt• Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency,Inc,to initiate the inspection and revalidation
any of fhe components installed as of the above noted date,this CeRifiWte shall be process. A fee wal be charged torthis service. '