electrical inspection RX Date/Time 10/09/2020 14:14 15182731202 P.003
- <0ct. 9. 2020 1 55PM-,-;; ,,,MDIA, No, 5021 P. 3
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MIDDLE DEPARTMENT INSPECTION AG >>
w.,) EIS INC.
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--'e '.-that the electrical wiring to the electrical equipment listed below has been examined and is approved as ,
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ^��
fe •noted below and is issued subject to the following conditions. e.
`.' Owner:
�j Wander • • Date: 09/30/2020 .�F�
Occupant io Pool Location. C�a�
7 Fieldview Rd., South <<��
(\.�) Occupancy:Swimm. Pool Queensbury,Warren Co. NY
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�4 Applicant
co 7 Fieldview Rd., South :' .. "
�.') Queensbury, NY 12804'' ---� '''__' • -A.
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��. Joseph AHolmes4: • . - _ - - )
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��,) 1 -GFCI Receptacle; 1 -Pufip ": . '• • •
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>,0• This certificate applies to the electrical wiring to the electrical equipment listed immediately nut and void. This certificate applies only to the use,occupancy and .
1�;�) above end the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership I?
ce:��(4 Inspection. No warrantyis expressed or implied as to the mechanical safe effi- of the roe indicated above,this certificate shaft be immediately null and void. 'Ca)
P � P P ►r, property rtY k, ciency or fitness of the equipment,for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the ebove.condltions, C
he valid for a paned of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department -,�
�) system to which this certificate applies he altered In anyway,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle `;9'J
i)0 ea te,the'introduction of addltiohel electrical equipment and/or the replacement of Department Inspection Agency.Inc.to initiate the inspection and revalidation ill
r any of the components installed es of the above noted date,this certificate shall beprocess_A fee will be charged fortttis SONIC-a..
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