electrical inspection - -- - •— . a-t .
pEC 0V
FEB 12 2021
TOWN OF QUEENSBURY
BUILDING&CODES
COl IMONWEAU'li ELECTRICAL INSPECTION SERVICE,INC.
�s•;'.,. Rain Office 176 boo Run?fond-Manheim.PA 17545
MUNICIPAL CEWfIFIC:ATE. - ELECTRICAL APPROVAX,
42258!<'••'' Permit No........................................Ccrt. Gut-in Card No.............,..............,.......,
Owner....... . ............, .... ....... �r�..�4 a. .. .......................... ,. .. .. ............... ........................ l
;Location....... ....,.. ........................... . ....
:Installation Consisting of., •`•
•::a. �� �C C!�....�� i��� S...........I... !t/4.T..
.;::::'. ............. ...n....•/..... ....•........................... ..................................
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Installed By......../4A:'./hAz.✓1......! ....................................... ...................................I.............
.G.fir,. .Lic. No. I �
The conditions following goYerned the issuance of this certificate,and any certificate previously issued is
:cancelled;- l
This certificate only cover,;the eleetricid equipment and installation conditions as of date. Upon the t 's
:introduction of add itionol equipment or alterations,application shall be Promptly made for inspection. j t
Inspectors of this Company shall have the privilege of making inspections at any tithe, and if its
rules are violated,dne r:ompany shall have the right to revoke this certificate. t`
Dote......... ..:..!�,-.:. .I...,............. IHsrI:C7'Ortn,....,,Lea 7Ct�Kntty�rt,�. I
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Mein her N.F.P.A. I.A.E.I, i
ZO 39dd 0 awnW NON P85186L 8Z:tiT TZOZ/ZT/Ze