43-141 (5) Massachusetts Electric Company&Nantucket Electric Company(d/b/a National Grid) 7 3 f6//-0 O / M.D.P.U. 1320
Certificate of Completion for Simplified Process Interconnections
Installation information: ❑Check if owner-installed
Interconnecting Customer: Emily Wojcik Contact Person:
Mailing Address: 26 Longfellow Dr Lot 6
City: Florence State: MA Zip Code: 01062
Telephone(Daytime): (413) 695-6624 (Evening):
Facsimile Number: E-Mail Address: emwojcik@aol.com
Address of Facility(if different from above):
Electrical Contractor's Name(if appropriate): Anthony Alfano of All Enery Solar
Mailing Address: 159 Front Street
City: Chicopee State: MA Zip Code: 01013
Telephone(Daytime): 413-685-5000 (Evening):
Facsimile Number: E-Mail Address: tonyalfanoaes@gmail.com k
License number: 22898A L (g-e4 121 i �( .3
Date of approval to install Facility granted by National Grid: 3/3/2021 I
Application ID number: 00343925
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of
(City/County):
Signed(Local ectrical W f g Spector, or attach signed electrical inspection):
Name(printed): i C �e_fL YYl't U.1 Date: /o)- - I - 3,1
License#: Vb (t(1.‘
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://www.nationalgridus.com/masselectric/home/enerQveff/distributed generation.asp
Nantucket:http:/''www.nationalgridus.com/nantucket/home/enerQveff/distributed eeneration.asp Page 1 of 1