Final Electrical11-YR
Insp. Date: 6/26/2023
Appl #: DD23822
ELECTRICAL CERTIFICATE
COMMONWIFULTH ELECTRICAL
INSPECTION SERVICE, INC.
176 DOE RUN ROAD, MANHEIM, PA 17545
TELEPHONE: (717) 664.2347
New York Office: (585) 624-2380 .
Premises of: SAMANTHA WHITE as ABOVEGROUND POOL
Address: 67 RICHMOND HILL ROAD, QUEENSBURY (TOWN) NY
County of WARREN Permit #: POOL 0288-2023
Installed by: JOSHUA WHITE
Apparatus: 2 RECEPTACLES, 20 AMP TWIST LOCK RECEPTACLE, TIMER, 2 20 AMP GFCI
BREAKERS, POOL CIRCUITS AND EQUIPOTENTIAL BONDING.
Inspected by: DAMON DZEMBO
The conditions following governed issuance of this certificate, and any certificate previously
issued is cancelled. Failure to have the property reinspected when additional equipment or wiring is
added; or within one year from the date of the certificate shall void the certificate in its entirely and the
company shall not be liable for any damages whatsoever,
This cemflo to does not guarantee efficieney, wearing qualities, mainterwoee or repair and the
company shall not be liable for any damages resulting from any defect or fault in the plans or specifics-
duns, including repair, reconstruction, personal injury or for the death of any person; and
This certificate only covers visual inspection of wring and does not cover manufacture or use
of wiring.
Inspectors of this Company shall have the privilege of making inspections at any time, and if
its rules are violated, the Company shall have the right to revoke the certificate.
All corrections must be requested within 60 days.