final electrical inspection RX Date/Time 07/15/2020 14:31 15182731202 P.004
r .;Jul, 15. 20201 2: 14P , r -.MDIA,&,, ,— ,, .,. No, 4123 P. 4/5
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;�� MIDDLE DEPARTMENT �.Z�:�J:���%� .�r\�\4
(� A R�"�1E� I' INSPECTIO N AGENCY, ZNC. c���
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�� Ce that the electrical wiring to the electrical equipment listed below has been examined and is approved as
g being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date -V)
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noted below and is issued subject to the following conditions. �`.
(<< Owner: ('9,
Matt Authier Data: 07�0112020 ) •
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(j Occupant: Same Location
(6) 12 Helen Dr •
-
bl Occupancy:.
Pool `/
I Queensbury, Warren Co. NY <<5
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( Applicant: Fl
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GBM Electrical
�) Attn:Matthew Wing • • . ��)
69 Peggy Ann Road . • ��a)
(fj b Queensbury NY 12804 : •• rr>)
.i Joseph A.Holmes • l
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6> No. • �)
(' 147929131362EL (��l
4 Equipment: _ E�Jt.— 0 '� ' 2� 8
kv:2-GFCI Receptacles;2-Low Voltage Fixtures; 1•- Burner,Wiring & bntrols fc r Gas;.1 - Pool Pump; 1 -Twist Lock
(.��Receptacle; 1 -60 Amp Easy Touch Panel F
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. ITOWN F QUEENSBURY
. BUILT ING&CODES <<e ()
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and v Id. This certificate applies only to the use,occupancy and ,•,
(,e) above and the installation inspected as of the above noted dale 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,effl- of the property indicated above.this certificate shall be immediately null and void. 0
(�� ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this c rtificate becomes invalid based upon the above conditions,
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;� be valid for a period of one year from the above noted date. Should the electrical this certlFieate may bs revalidated upon relnspection by Middle Department ��.
4 1.ty system to which this certificate applies be altered in any way,including but not limit- Inspectioi Agency,Inc An application for inspection must be submitted to Middle (��J)
ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation. jj
(�\, any of the components installed es of the above noted date,this certificate shall be process. b fee will be charged for this service.
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