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17D-037 cERITICATE OF cOMPLETION (7A-D -7-00 ) Massachusetts Electric Company&Nantucket Electric Company(dib/a National Grid) M.D.P.U. 1320 Certificate of Completion for Simplified Process Interconnections Installation Information: n Check if owner-installed Interconnecting Customer: Jeffrey Novick Contact Person: Mailing Address: 29 Sumner Ave City: Florence State: MA Zip Code: 01062 Telephone (Daytime): 518-929-5584 (Evening): Facsimile Number: E-Mail Address: JNovick21©gmail.com Address of Facility (if different from above): Electrical Contractor's Name (if appropriate): Northeast Solar Design Associates - David J Baird Mailing Address: 136 Elm St City: Hatfield State: Ma Zip Code: 01038 Telephone (Daytime): 413-247-6045 (Evening): cfnu-dc.z qt.(7,o2z_ Facsimile Number: 413-674-0006 E-Mail Address: Interconnection@northeast-solar.com License number: 21918A Date of approval to install Facility granted by National Grid: 5/9/2022 Application ID number: 00427314 SMART ID#: N/A Contruction WR#: N/A Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of (City/County): Signed(Le :1 Electf call Wiring Inspector, or attach signed electrical inspection): • Name (printed): 'Re) el ,r . Y'n� IN Date: (- /- ,?--D- License #: IV0 Ct.(ft, k 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(a nationalgrid.com Massachusetts: http: :.www.nationalgridus.corn masselectric home energve ff.'distribute d_generati on.asp Nantucket: http:: www.nationalgridus.convnantucket'homeienergveff/distributed generation.asp Page 1 of 1