electrical inspection RX DateM me 07/12/2021 09;51 15182731202 P,002
J 9:28A MDIA
ul, 12, 2021 No, 7231 P. 2/2
MIDDLE DEF1 TMtNT INSPECTION AGENCY, INC.
ierAoas that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: ; Date:
Erin Bierfy 06/24/2021
Occupant: Location:
Pool 15 Elk Ridge Dr.
Occupancyy: imming Pool Queensbury, Warren Co- NY
ApplicantIl �
Mr. Electric of Queensbury
Jeanne Dion -L..---O b�5— Z012-1
PO Box 4304
LQueensbury, NY 12804 J
No.
Joseph A.Holmes l
147269153003EL
Equipment:
1 -Switch;2-GFCI Receptacles; 1 -Tilde Clbck i..
JUt 12 2021
TOWN aF OUEENSBURY
BUILDIII'G.&CODES
This certificate applies to the electrical wiring to trio electrical equipment listed immediately null and void, This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted daft based on a visual ownership as indicated herein. Upon a Change In the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical�stfety,effi- of the property indicated above,this certificate shall be immediately null end void.
deny or fitness of the equipment for any particular purpose, This ce flcate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should a electrical' this certificate may be revalidated upon relnspection by Middle Department
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 Site rtp�cement of Department Inspection Agency, Inc,to initiate trie inspection and revalidation
any of the components installed as of the above noted date,this certiflcfte shall be process. A fee will be charged for this service.
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