final electrical inspection RX Date/Time 08/10/2020 13:56 15182731202 P,009
., •Aug. 10, 2020 1 :38P �� y, MDIA No, 4364 P. 9/9
l'i..; MIDDLE DEPARTMENT INSPECTIO AGENCY INC.
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_>j: e that the electrical wiring to the electrical equipment listed bel rw has been examined and is approved as C
k4, being in accord with the National Electrical Code, applicable governmental, u.lity and Agency rules in effect on the date ���"'
'e?) noted below and is issued subject to the following conditions.
('�j Owner: Kristen Brown .�
` Date; 07/23/2020 C
`�1 Occupant: ��
e Pool Location.
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4 Old Forge Rd. • rye
�� Occu ant Queensbury, Warren Co. NY <<-
6G�) p ,Swimming Pool ry,
j Applicant: T 4
Cu�j Mr. Electric of Queensbury �\0
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," Jeanne Dion �)
� � PO Box 4304 • .>a�
L Queensbury, NY 12804 <<-,'a)
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Joseph A.Holmes (bp L (0 �-2 ZJ `�
�� No. 147269132729EL r>>
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Equipment: • : �
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ri P Receptacle;
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. p
,�)1 -Switch' 2-.Receptacles; 1 -GFCI Rece tac(e 1 -Time Clock; 1 -Twist Lock Receptacle (�
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AUK 1 1 2020 I
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OWfd OF GHEE l
Ce j 13=lls D�lttr� • Oh'S�URY <<�
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This certificate applies to the electrical wiring to the electrical equipment listed immediately null and V•d. This certificate applies only to the use,occupancy and 1k
% above end the installation inspected as of the above noted date based on a visual ownership as indicated erein. Upon a change in the use,occupancy or ownership i�
r inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicate.above,this certificate shall be immediately null and void. (r.
6... ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this c=• ificate becomes Invalid based upon the above conditions, F
.�� be valid for a period of one year from the above noted date. Should the electrical this certificate may b: revalidated upon reinspection by Middle Department r 22
()) system to which this certificate applies be altered in any way,including but not limit. Inspection Agency,Inc. An application for Inspection must be submitted to Middle ��yJ
:,) ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspectic Agency, Inc. to initiate the inspection and revalidation.
�`/;- any of the components installed as of the above noted date,this certificate shall be process. A fee will be c arged for this service.
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