final electrical inspection •
RX Date/Time 06/19/2020 14:00 15182731202 P.002
W JJun. 19. 2020-; 1 :42P �--- MD IA , r�„ Q No, 3876 P. 2/5
10 MIDDLE DEPARTMENT INSPECTION AO NCY, INC. �r>>
Y� that the electrical wiring to the electrical equipment isted below has been examined and is approved as CJ�
�e�� being in accord with the National Electrical Cude, applicable governmental, utility and Agency rules in effect on the date
k) noted below and is issued subject to the following conditions. ��
' ) Owner: "�
Ron Hemsing Date. 06/05/2020
Occupant: Pool Lociatio
n24 Pfelffers Way *
-, Occupancy. I Queensbury,Warren Co. NY C.>>
Swimming Pool �>>
Applicant r <<<9,
",- Mr.Electric of Queensbury .
•�� Jeanne Dion 'i • •
��s�
��%' PO Box 4304 R.
gT L Queensbury, NY 12804 ��
�� Joseph A.Holmes (���
�i
,-•') No. 1 4726 31 20603 EL r �
Equipment: (rj
<<>%I 1 -Switch;2-GFCI Receptacles; 1 -Pool Pump; 1 -Time Clock TOO L= 0 2Z-t- Z -
i6 . • . ) 6 '
• JUN 3 0 2020 rj v,
w5
lift. • TOWN OF QUEENSSURY rrO)
J •<< BUILDING CODES 0
rJ,. This certificate applies to the electrical wiring to the electrical equipment listed . immediatel/null and void. This certificate applies only to the use,occupancy and 6:4_
1�:�1 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 ownershlp r(.
6 ) 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. �r�j;
pment for any partic gar
ose. This certificate shall : In the evert
this certificate
d based
!�� be vclenalid d for period of o or fitness of the neryear from the above notedrdate, Should the electrical ' this certifi ae that may be revalidatedmes pon~re!nspection byon the above conditions.Middle Department ��.
J
��>>) system to which this certificate applies be alterec in any way.including but not limit- . Inspection Agency,Inc. An application for inspection must be submitted to Middle ()
0 ed to,the introduction of additional electrical equipment and/or the replacement of Department inspection Agency, Inc.to Initiate the inspection and revalidation
el any of the components Installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
.�'•k....;�\`i .��j=✓G.;�r/T\...:,, -.-.: :.✓.•.✓;-.4..v 1\r'"' ' %%`i;...., \/�c�'i..:�;'./^•",.-c —J::`J' ✓-, .,ii�:2�,.i,;��3:_� Ji:1�,...'iii-ti�%•v?.3i:,•ri^:n �> y