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final electrical inspection RX Date/Time 08/10/2020 13:56 15182731202 P,004 wv-- :,Aug, 10. 2020Y 1 :38P ��, .'MDIA ,_ No, 4364 P. 4/9 ,Y•.J'•�.!•.�.�.�i.�/1i:'C-":`r. 'ems �Y�•1 ,:.. '�� �.Y:C•a�Y:,V j:�-�... f-c� ✓` ice%` i.✓je�^�/`:%i:�:::•'�CC%!C•'� •1 '�'ea MIDDLE DEPARTMENT I 'S.P .;.�� . ., c C "I®i AGENCY INCIl�tC• u��� Ce that the electrical wiring to the electrical equipment listed be liw has been examined and is approved as -) L j being in accord with the National Electrical Code, applicable governmental, I.ility and Agency rules in effect on the date noted below and is issued subject to the following conditions. .." Owner: �J ?j Tom Ross Date: 08i f 4/2020 , �� Occupant "�3, I Pool Location: �• y j set Road Stivimming Pool0 �? Occupancy Quee sbu ry,Warren Co, NY ii?, c r=� Applicant: 7 k.7 GBM Electrical (S << Attn:Matthew Wing - 0 69 Peggy Ann Road . • . .. ..:" •.- 1 a L Queensbury NY 12804 '� TY Joseph A.Holmes . . . —0 b� d «;. (N _No.: -- _ .. _ _147929132947EL_ - _ 8 2 2� j Equipment: - - - - - - - r;I ..- .. • gf • C� * .I. - Heat Pump; 1 -Switch; 1 -GPI Receptable; 1 - Pool Pump; 1 -Time Clock; -Twi . ec tec- . . . -- -0 R. © E u E_ •,w - '�, • •• : . AUG ,1 1 20 • if ?�j T01111t�a t;! tr'UEE�S^_I;RY <�) �� i31Jil:D..caCOD S �j . �� This certificate applies to the electrical wiring to the electrical equipment listed immediately null and or.. This certificate applies only to trte use,occupancy and -•-) ) above and the installation inspected as of the above noted date based on a visual ownership as indicate., :rein. Upon a change in the use,occupancy or ownership `4•a) Inspection. No warranty Is expressed or Implied as to the mechenicel safety,effi- of the property indiea,-•above,this certificate shall be immediately null and void. (((.'9 y ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this'e ificate becomes invalid based upon the above conditions,be valid for a period'of one year from the above noted date, Should the electrical this certificate may .e revalidated upon reinspection by Middle Department ) system to which this.certificate applies be altered in any way,including but not limit- Inspection Agency,In . An application for inspection must be submitted to Middle rC.v) Z) 0 ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspect'.n •gamy, Ins, to initiate the inspection end revalidation any of the components Installed es of the above noted date,this certificate shall be process. A fee will be =rged forthia service, 4•' �•`mow:� :v ' �% �l f��! :�.,ii�i�✓/�✓rye..%/ ✓ ..i�:�i'�c %/:�Kr'�- �' :•�' N:=�!' �.: ". '1"'\ v