electrical inspection Er, ED V E
MAY 11 2021
TOWN OF QUEENSBURY
BUILDING&CODES
COMMONWEAU171-1 ELECTRICAL INSPECTION Sl�'RVICE,INC.
MWn Office 176 Doe Ron Road-Manheim,PA 17545
MUNICPW LCERTIFICATE - ELECTRICAL APPROVAL
't. N2 42281 Cal-in Card No.....................................
Permit No........................................Cel
Owner......................J,/4
k.,Q................................................................................
Location..................X&.........P.P ............................ .........................................
Installation Corisisting of......... ..... ............I........
......................J..... S.............. ................................... .....................................................
........................... ................ ...............I.........................I.........................I.................I.....................-
InstalledBy... ...... ...........................Lie.No................................... ..........
The conditions ftillowhig governed the issuance or this certificate.and any certificate previously issued is
canccllc((:-
This certificale only uovem the cleu(rical equipment and installation conditions as of date. Upon the
-
introduction of ludditional equipment or alterations,application sli(ill be pianiptly nitide for inspection.
Inspewon, v( this Company shall have the privilege of making inspcctions at any time, and if its
i rules are violated.the company shall have the fight 10 revoke this certificate.
V.
D a i I.................... .............................
Member N.F.P.A,I.A.U.
10 3E)Vd mawnW NON V89188Z 9z:zl TZOZ/11/90