electrical inspection ' 13X Date/Time 11/02/2020 15:15 15182731202 P.003
,,,,,,,,Nov. 2. 2020- 2:56PM MD IA No, 5223 P. 3/3
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MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 4
Ve that the electrical wiring to the electrical equipment listed below has been examined and is approved as C 5
(U�) being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date r3"
(a) noted below and is issued subject to the following conditions. • 0,
to>j Owner Kim Wright f��
Date: 10/26/2020 '
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g Occu ant:
p Pool Location �,,.
g4� 45 McEachron Ln.
(?,- Occupancy- Queensbury,Warren Co.NY l
, Swimming Pool `Cad
K, Applicant: Brown Brothers Elec. Inc. -Z L
(e 175 State Rt 149 • . - 3t�l_ - )
LO Lake George, : • .. ,-- . ..-,'_.,_ • . ��
NY 12845 �F
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`0 Joseph A.Holmes; :_...;.. --- -- • «j�
No. j
(� _ -14.4003148004-EL' • • • - • - - •- - - - - -
<< , Equipment
2-Switches; 1 -Low Voltage.Fixture;1•-Twist Lack Receptacle; 1. 30 Amp Heat Pump C�>>
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,,. This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy end .,,i..., 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 ���
(a inspection, No warranty is expressed or implled as to the mechanical safety,effi- of the properly Indicated above.this certificate snail be Immediately null and void, r(�)
t< ciency or fitness of the equipment for any particular purpose. This cerliticate shall In the event that this certificate becomes invalid based upon the above conditions, y
�c be valid for a period at one year from the above noted date. Should the electrical this certificate may be revalidated upon retnspection by Middle Department (,?�
0 system to which this certificate applies be altered in any way,Including but not limit- Inspection Agency,inc. An application for inspection must be summed to middle CGJ�
k,•w, ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the Inspection and revalidation (.
gl'; any of the components Installed as of the above noted date,this certificate shall be process. A Fee will be charged for this service, C)
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