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Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) M.D.P.U. 1248
Certificate of Completion for Simplified Process Interconnections
Installation Information: ❑ Check if owner-installed
Interconnecting Customer: DORCAS BROOKS Contact Person:
Mailing Address: 188 Federal Street
City: Northampton State: MA Zip Code: 01062
Telephone (Daytime): 413-348-7875 (Evening):
Facsimile Number: E-Mail Address: db@joneswhitsett.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: 01062
Telephone(Daytime): 413-584-8844 (Evening):
Facsimile Number: E-Mail Address: Info@valleysolar.solar �(, eYnal t b 1231zz
License number: 21134A
Date of approval to install Facility granted by National Grid: 3/22/2022
Application ID number: 00417185
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
Signed (Loc lectric Wring Inspector, or attach signed electrical inspection):
Name (printed): c6coAr- PA4 lt, Date: - 4-a-
License#: `'/Q (Q,(
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.generationa,nationalgrid.com
Massachusetts:http://www.nationalgridus.com/masselectric/home/energyeff/distributed generation.asp
Nantucket:http://www.nationalgridus.com/nantucket/home/energveff/distributed generation.asp Page I of 1