electrical inspection DECE0WE
MAR 18 2021
TOWN OF QUEENSBURY
BUILDING&.CODES
''-''-��e•�;^•. � COMMON iwl:alL'M ELECTRICAL INSPECTION S)&RVI(:F:,INC.
Main Office:176 Doe Run Road-Manhaim,AA 17545
MUNICIPAL t;Ei�iDICIOAI!'E - ELECTRICAL.APPROVAL
Permit No........................................Cort.�j 0 5 0 0 0/ Cat-in Card No.................................,..
"wF:.,• Owner................ . ...., ..............................................,..........,,....................., j
,L Location....................... .2...... ......&A ='t£
Instailation Consisting n e I �
�nf...........�s.......��.kr.ra...4:t�.[.�•a......G-..:�.......�.....G1....E.,.1.,?.��a'............... � ..
In
.....................................................................................I........I.............................
..,.................,............,......,..
t Installed By........ d.�...�fa:To.!�1............... ................L.ie. No.............................. ........ ........ 'ice
t _
The cottditimu jollowing governed the issuance of this certificate,and any certi icaw previously issued is
L� cartcciled:• l •,-�
This certificate only coven the electrical equipment and installation conditions as of date. Upo„ the ; A
'r introduction of additional equiprnwi or Ulteraliuns,application shall be promptly made for inspeciinn.
llispeotol'ti of liNs Company shall have the pt;vilege of making inspections.at any time, and it'it.,;
�,'•' ruleS 8Y(;viOlAted,the Cnnipimy shall have the right to revoke this ecrilticate.
4 -2 I' 1 ">
Date.........�.... ..��.. .. ............... 1NSPlvC7'®k:., t,..rat �. �?` ?:
Member N.F.1.A..1.A.E.I.
Z0 39dd mawnW NON 1789186L bZ:91 TZOZ/81/E0