31A-175 (5) 3//:1 - /75--0O /
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
Shannon Welch
Interconnecting Customer: Contact Person: 1
Mailing Address: 32 Maynard Road
City: Northampton State: MA Zip Code: 01060
Telephone(Daytime): 202-329-5937 (Evening):
Facsimile Number: E-Mail Address: edwelch32@gmail.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): �A n
n
e l,
Infovallsolar.solar
Facsimile Number: E-Mail Address: @ y 46,/Zo 22_
License number:
1/15/2022
Date of approval to install Facility granted by National Grid:
Application ID number: 359928 ?
Inspection
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
heft and„Arr1.,,.
Signed(LT Electr. al ' ing Inspector, or attach signed electrical inspection):
ete Name (printed): 1Coco.Ar- n4q L Date: 2--i() -�.),,
License#: V 0 G.Ci
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.generationAnationalgrid.com
Massachusetts:http://www.nationalgridus.com/masselectric/home/energyeff/distributed generation.asp
Nantucket:http://www.nationalgridus.com/nantucket/home/energyeff/distributed generation.asp Page 1 of 1