final electrical inspection RX Date/Time 08/10/2020 13:56 15182731202 P.006
C •Aug. 10. 2020e 1 38P�MDIA��, -� No, 4364 P. 6/9
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> MIDDLE DEPARTMENT INSPECT' :.b�. /
.;, IN EC'�'Y N AGENCY INC. >>
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��� that the electrical wiring to the electrical equipment listed blow has been examined and is approved as
j beingi,A
in accord with the National Electrical Code, applicable governmental, tility and Agency rules in effect on the date aj
(� noted below and is issued subject to the following conditions.
il. Owner: j
(�) Rebecca M. Lee Date: 07 24/2020
�� Occupant:
(�;5a Pool Location p
157 Ridge Road
I Occu anc • Que-nsbu��>> p ySwimming Pool ry, Warren Co. NY cx
(rye
�) A lican n
pp t Rebecca M Lee
I. 1571 Ridge Road
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( Queensbury NY 12804. r�
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(C�) --� . ir�)
Joseph A.Holmes 4(69.
No. • 318014132723EL ®Z� L� j
Equipment: f'60`L ,f.(-
<< 2-GFCI Receptacles; 1 -Pool Pump; 1.-Time Clock; 1 -Twist Lock Receptacl:
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• TOWUNI_O_iFNO1E , RY 4illil? [1.--1
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g.:\x This certificate applies to me electrical wiring to the electrical equipment listed immediately null and oid. This certificate applies only to the use,occupancy and >>>
J above and the installation Inspected as of the above noted date based on a visual ownership as indicate.herein. Upon a change in the use,occupancy or ownership V
I) inspection.or No os warranty
equipment sedor implied as to the mechanical safety,effi- of the property indlca sd above,this certificate shall be Immediately null and void, (C(,', clencyany particular purpose. This certificate shall In the event that this,enlbcate 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 •a revalidated upon reinspection by Middle Department �y�
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 IV
(v)) eed tr,thee introduction of additionalit electricalca eequipment
and/ois the
replacement of . Department Inspecti,,r Agency, Inc. to initiate the inspection and revalidation r j)
'/;) y componentsprocess. A fee will be merged for this service_
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