electrical inspection i
pECE VE
MAY 2 7 2021
TOWN OF QUEENSBURY
BUILDING&CODES
�::::. • C.0N1M0NWk*.A1TH ELECTRICAL INSPECTION SERVICE,INC. i h
Muin Ol'lice,176 Doe►lun Road-Mauhcim,PA 17545
MUNICIPAL CEII 71FICAW - ELECTRICAL APPROVAL i :^
Permit No.......................................C:CtZ. N2 4 2 2 8 6 Cut-in Card No.... .............................. k'
Y.
Owner.,........... . ......... r,......,4 .......................................
Location................tf`�.... ................,....,,.:.......,,..,..,............................... f
Installation Consisting of: �2:�/L,G�.Sf.Gr.....W..k/�.�... ...r .r......z.�
s;rye; .............
°�•:b•• '....... .Ai.i,cS,�t.:...`t?.,Z'/.'�,.�..d.. ,.. .r. �1. .,... .'1�?.6..!...A.c—t...a............................................................ •���d;
:'i`�• .....�.............. .................................................................. ....................................................................................
Installed Ay.......,.;, , ?r±':. • :.... .Ltc.Nu..................................................
P,„ '• The condition.,;tiillnwing ivoverned ilia issuancu of this certificate,and any certificate previously issued is
cancelled:-
1 This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of adtlilitannl equipment or sizerations,application shall-be promptly made far inspection. ;3r
inspectors of lids r,`otapany ~hall have the privilege of making inspections an any time, and if its 'g
f_ .:. rules are viuiatcd,s.hc+Cuanpttny shall have the right to revoke this certificate, = �
t .... Date........,.O- n.2n!?n.`,x„J............. tN51'Fl_1'®R
Member 11'XP,A.,I.A.KJ.
TO 39dd O EWf1W NOH b89T86L 9b:TT TZ9Z/LZ/50