37-096 (4) 37,_ 0/(0 opt
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: PRANCES BECKER Contact Person: Michael Becker
Mailing Address: 37 ICE POND DR, LOT 6
City: Northampton State: MA Zip Code: 01062
Telephone(Daytime):(413) 335-6340 (Evening):
Facsimile Number: E-Mail Address: beckermf@comcast.net
Address of Facility(if different from above):
Electrical Contractor's Name(if appropriate): Earthlight Technologies
Mailing Address: 92 West Road
City: Ellington State: CT Zip Code: 06029
Telephone(Daytime): 860 871 9700 (Evening):
Facsimile Number: 860-871-9439 E-Mail Address: resprojectmanagement@earthlighttech.com 2Y avL t/21r202Z
License number: 15611 A
Date of approval to install Facility granted by National Grid: 11/8/2021
Application ID number: 30422128.
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
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Sign (Loc 7rical Wiring Inspector, or attach signed electrical inspection):
Name(printed): ,< b 6--e a_ ►"t't Date: / - / .- a`
License#: Vo (.e.CO
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(cr�nationalgrid.com
Massachusetts: http://www.nationalgridus.com/masselectric/home/eneruveff/distributed aeneration.asg
Nantucket: http://www.nationalkridus.cam/nantuckct;home/enei veff'distributed kcueration.asp Page 1 of 1