31B-167 (16) 31 G -kol- Do 1
Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) M.D.P.U. 1320
Certificate of Completion for Simplified Process Interconnections
Installation Information: ❑ Check if owner-installed
Interconnecting Customer: Justin Smith Contact Person:
Mailing Address: 137 Elm St.
City: Northampton State: MA Zip Code: 01060
Telephone(Daytime): (917) 301-8694 (Evening):
Facsimile Number: E-Mail Address: jUStinsmith2OO6@gmail.corn
Address of Facility (if different from above):
Electrical Contractor's Name (if appropriate): SunBug Solar, LLC
Mailing Address: 66 Westfield Ind Park Rd.
City: Westfield State: MA Zip Code: 01085
Telephone(Daytime): 413-884-1000 (Evening):
Facsimile Number: (617) 412-3062 E-Mail Address: Rachel.Bruso@SunBugSolar.com
License number: 4313 Al 6Ynet;:fa-1--
Date of approval to install Facility granted by National Grid: 8/16/2021 /ogzl 12021
Application ID number: 00373268
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
Northampton
Signed fecal El 'cal Wiring Inspector, or attach signed electrical inspection):
Name (printer): Zeo-4r r i i L Date: (v- /g /t \\
License #:
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@a,nationalgrid.com
Massachusetts:http://www.nationalpridus.com/masselectric/home/energyeff/distributed generation.asp
Nantucket: http://www.nationalgridus.com/nantucket/home/energyeff/distributed generation.asp Page 1 of 1