final electrical inspection RX Date/Time 08/21/2020 13:59 15182731202 P.003
' -•--Aug, 21. 2020 1 :41P MDIA No. 4495 P. 3/4
MIDDLE DEPARTMENT INSPECI"I® AGENCY INC. <
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��� Ve4 that the electrical wiring to the electrical equipment fisted bel ow has been examined and is approved as .';
C,� being in accord with the National Electrical Code, applicable governmental, u lity and Agency rules in effect on the date 1
C j noted below and is issued subject to the following conditions. .
«1 Owner: CAS
C; Harrington Date: r6a,
08 12/2020 -
Occupant:
Pool Location. )
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20 ooden Ln. <<)
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Occupancy Que nsbu Warren Co. NY Cif.-Swimming Pool ry� r•
l��) Applicant:17
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«� Andrew Harrington ,
�J)20 Wooden Ln. � �
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CCU Queensbury, NY 12804 . . .- . ���F<s)
L AUG 2 . 2020 S •
• TOWN OF QUEENSBURY ^�
v No: ' ' . . BUILDING&CODES :
-r . . 3180141.32829EL _ - - - - • - - •- . - - •.. _ .. - - - - - - .. - - - - -
:�) E ui ment:
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2-Switches; 2-GFCI Receptacles; 2*-Fixtures; 1 Pool'Pump; 1 -Time Cloc 1 -'Chlorinator ,
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This certificate applies to the electrical wiring to the electrical equipment listed immediately null and •d. This certificate applies only to the use,occupancy and GCS
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 �rJj
) inspection, No warranty is expressed or implied es to the mechanical safety,efr,- of the property indica :d above,this certificate shall be immediately null and void, C(.j))
?U�) aency or fitness of the equipment for any particular purpose. This certificate shall In the event that this c.tificate becomes invalid based upon the above conditions. .
�Nlbe valid for a period of one year from the above noted date. Should the electrical this certificate may •t revalidated.upon relnspection by Middle Department /`�
system to which this certificate applies be altered in any way,including.Cut riot limit- Inspection Agency,in.. An application for inspection must be submitted to Middle §,S
(\J ad to,the Introduction of additional electrical equipment and/or the replacement of Department Inspectio Agency, Inc.to initiate the Inspection and revalidation �'.)
6) any of the components installed es of the above noted date,this certificate shall be process. A fee will be barged forthls service, �)
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