final electrical inspection RX Date/Time 10/21/2020 08:57 15182731202 P.002
;1;; Oct, 21. 2020. 8:37AM.,_, MDIA S_ No, 5110 P. 2/3
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�: . MIDDLEDEPARTMENT INSPECTION AGENCY, INC.
(' ' W6eAt that the electrical wiring to the electrical equipment listed below has been examined and is approved as (
j being in accord with the National Electrical Code, applicable governmental, utilityand
Agency rules in effect on the date Pe-
noted
Ic j below and is issued subject to the following conditions. 0
.l. Owner (V�
(j Jane Gardner Date:
10/13/2020 -k'.
•
Occupant: •
Le`. Pool Location;l0 Queens Ln, �i
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e�j Occupancy mming;Pool Queensbury,Warren Co. NY �g;
?) Applicant r GBM _ c �
Electrical
�j Attn:Matthew Wing • • = •
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69 Peggy Ann Road - •' -- ' • r
�� L Queensbury NY 12804 . J . OCT Z O ZQ�O
> .Joseph A.Holmes TOWb OF OUEEE�Sl3URY ��
-. .... • BUILDING& CODES rC•:4q�
(� No:• - - _ .. _ _ - _• '14Z929147743E1, •_ (�
y� Equipment: '
--- ?
3
1 -Switch; 1 -GFCI Receptacle;2-Fixtures'1 - Pump;"1`=50'•gmp-Heat-Pump; 1 -1OO'Amp Control Panel; 1 -Twist
Lock Receptacle r j
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(,�'� •This certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use,occupancy and (z.��
�) above and the installation inspected es of the above noted date based on a visual ownership as indicated herein. Upon a change In the use,occupancy or ownership V
(`�) inspection. No warranty is expressed or implied es to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. C95
(� be valid for ess of the pe od f one yearrfrom the above nott for any padieuiar ed date. Should urpose. This ethe�electricel this certite shall In the ficate t at this may bet revalidated ed pon becomes valid reinspection byon the above Middl Department t ns, <,
it:4 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
.) ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc, to initiate the inspection and revalidation 4)
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. Rh
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