31B-039 (6) 316- 031
Massachusetts Electric Company M.D.P.U.No. 1176
Nantucket Electric Company Canceling M.D.T.E.No. 1116-A
STANDARDS FOR INTERCONNECTING DISTRIBUTED GENERATION
ATTACHMENT 2
Certificate of Completion for Simplified Process Interconnections
Installation Information: n Check if owner-installed
Customer or Company Name(print): Jennifer Murray
Contact Person, if Company:
Mailing Address: 39 Summer Street
City: Northampton State: MA Zip Code: 01060
Telephone(Primary): (646)489-5693 Telephone(Secondary):
Fax: Email: jenmurray786@yahoo.com
Facility Address(If different from above):
City: State: Zip Code:
Account Number: Meter Number:
Electrical Contractor's Company or Name(print): Insight Solar
Electrician Name,if Company: Ed Sepanski
Mailing Address: 59C North Street
City: Hatfield State: MA Zip Code: 01038
Telephone(Primary): 413-338-7555 Telephone(Secondary): ))
Fax: Email: applications@getinsightsolar.com er' '"I c-A 2/1 L!Mg,
License number: 8086 Al
Date of approval to install Facility granted by the Company: 1/13/22
Application ID number: 00404986 Work Request Number: (No SMART meter)
Inspection:
The system has been installed and inspected in compliance with the local Building/Electrical Code of:
(City/Town)
Signed(Local Electrical Wiring Inspector,or attach l
signed electrical inspection):
Wiring Inspector Name(printed): p L
Phone Number: c -7- 1 a 11(
Email Address: CI lb�lid��. j"\!VW C,
As a condition of interconnection you are required to email a copy of this form along
with a copy of the signed electrical permit to distributed.generation@us.ngrid.com