electrical inspection D � rr% LC
APR 0 8 2021
TOWN OF QUEEhlSSM,
BUILDING& CODES
�..��va�mrsst�w rot 1'1i 1:LLCTRICAL INSPUCTION SERVICE,INC.
Main Office 176 Doe Ruo!toad-Manhelm.PA 17545 ! '.
��;.:;•. MUNICIPAL CEW'MICATE - ELECTRICAL APPROVAL
42273.,...,• !Permit No........................................Cent, N.. Cut-in Carcl No....,.................
:. .Owner............... .tl�,+5......../..?�. d.�,�tr'.t„i�iz..._...........................................,....... .......,._............... :_{
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Locatron... . .........--'C._...o4.i3.,.. ��..��...T....r�..�.................................... =r;
Tnstal)ation Consisting of.....G*1-AUtC:S.r...W.Lx .!ai' ..n.......j.4y ......... s
1 .............................................................. ................1....................,.........................1............I..............
,...
Installed By ..Uc.No...............
The conditions tbilouring gom-ncd she issuance of this certificate.and any certificate previously issued is !
cancelled,
This cettitlente ottly covers dtc electrical equipment and installation conditions as of date. Upon the i
:introduction of additional equipute•nt or alterations,application Shull be promptly made for inspection.
?` Inspectors of this i ompr,ny shall have the privilege of making; inspection, at any time, and if its 3;
,rules arc violated.the Company shall have the right to revoke this certificate.
Uate.........,.. .................. INSPECTOR-r''o ........................................
Meather N.F.P.A.,I,A.L.I.
Z6 39dd O-SWf1W NON 178ST86L 95:0Z tZ9Z/80/0