28-015-001 ELECTRICAL COC M.D.P.U.No. 1468
Canceling M.D.P.U.No. 1320
Sheet 104 of 170
ZF-P/ -^D D /
STANDARDS FOR INTERCONNECTION OF DISTRIBUTED GENERATION
ATTACHMENT
Certificate of Completion for Simplified Process Interconnections
Installation Information: : Check if owner-installed
Interconnecting Customer Name(print): Mark Bashista
Contact Person:
Mailing Address: 198 Sylvester Rd
City: Florence State: Ma Zip Code: 01062
Telephone(Daytime): 413-570-5750 (Evening):
Facsimile Number: E-Mail Address: markbashista123@gmail.corn;
Address of Facility(if different from above):
198 Sylvester Rd. **Solar** Florence MA 01062
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):
Facsimile Number: 413-674-0006 E-Mail Address: Interconnection@northeast-solar.com
License number: 21918A
Date of approval to install Facility granted by the Company:2/6/2023
Application ID number: 00495182 SMART ID#: N/A
Inspection: Contruction WR#: N/A
The system has been installed and inspected in compliance with the local Building/Electrical
Code of
(City/County)
Signed(Local Electrical Wiring pector, a c signed electrical inspection):
/ ..
Name(printed): '/ e-02 /-I tit-v
Date: 5-Z-WZ3
License# LID( ,I
Exhibit A