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17A-095 (6) Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) I—)A - °9 6 -b o I' M.D.P.U. 1248 Certificate of Completion for Simplified Process Interconnections Installation Information: ❑ Check if owner-installed Interconnecting Customer: Christina Cornell Contact Person: Mailing Address:45 Carolyn Street City: Florence State: MA Zip Code:01062 Telephone(Daytime): 413-478-8856 (Evening): Facsimile Number: E-Mail Address: chriss@valleycommunications.com Address of Facility(if different from above): Electrical Contractor's Name(if appropriate): Valley Solar Mailing Address: PO BOX 60627 City: Florence State: MA Zip Code: 01062exilcuta- Telephone(Daytime): 413-584-8844 (Evening): o� Facsimile Number: E-Mail Address: Info©valleysolar.solar l �/ License number: 21134A Date of approval to install Facility granted by National Grid: 9/8/21 Application ID number: 00377455 WKo#: :3U4bb294 Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of (City/County): Signed(Loc lectric • ' g Inspector,or attach signed electrical inspection): ei . . to Name (printed): 2a Gt2 y✓tr W Date: 7, 3O -a 1 License#: yQ a(I.( As a condition of interconnection you are required to send/e-mail a copy of this form along with a copy of the signed electrical permit to National Grid: National Grid Attn: Distributed Generation 40 Sylvan Rd Waltham, MA 02451 E-mail: distributed.generation@nationalgrid.com Massachusetts:http://wwv.nationalgridus.com/masselectric/home/energyeff/distributedgeneration.asa Nantucket:http://www.nationalgridus.com/nantucketlhome/energyeff/distributed generation.asp Page 1 of 1