electrical inspection WWRMPPM
D E C E 9 W E
APR 13 2021
TOWN OF QUEENSBURY
BUILDING oY CODES
AST- 6033 - V��
` ``•• COMMONWEAU1'11 CLECTRICAL INSPECTION SERVICE,INC.
Malp Office 176 Doe Run liasd-Monheim,PA 17545 . ' •
MUNICIPAL CER'I'MCATE - ELECTRICAL,APPROVAL
1� 42277E
ti s. Permit No........................................C(,rt. Cut-in Card No........,............................ .,
�4 Owner 0.1.E—&C ..../yli.Y,l G crc ..................................... ...............................
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;Y•a,=: :Location............... .. ... ^5. '.!.....p ......,..............,...........,...........,..........................,...........................
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r�`! Installation Consisting of....../�.d4«.x. ...........
' ..�...�..�' ...�.. ..��.�.�...�.�.1.1�.rr.4I1./...`rR...�:f.�:.�.a.../..��►�tJ.�l,.....�.�:.L..a.l..............
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f<: ;Installed By...../.. 4,..... .5?.A...........................Lic.No..................................................
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�;•, The conditiow fvl lowing governed the issuance of this ecrtificatc,and.any cc iftcate previously issued is
cancelled:-
This ccrtiticatc unly covers the electrical equipment and installation conditions at; of date. Upon the ? 3
introduction of additional equil+mcnt or alterations.application shall be promptly made for inspection. t
�:.". inspectors Of thii t::onspuhy shall have the privilege of snaking inspections at any time, and if its
"'•° rules are violtited,tho C:nntpany'shall have the right to revoke this certificate.
Datc..........Y�1.•/�':t �................ INSPECTOR .. ,rt;.••.••••...........................
1 MemberlV.P.P.A.,I.A.E.1. }
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