Certificate of Completion 102522 zu p
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Certificate Completionr< SimplifiedProcess Interconnections
inwtllation Information:
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Installed Owner - ,'=,,womt;,
Interconnecting Customer Name (print): Julle Sh c ekiuni
Contact Person:
Mailing Address: 365 Bridge St I
City: Brooklyn State: NY
Zip Code: 11201
Telephone (Daytime):(917) 771-45 3; (Evening):
Facsimile Number:
E-Mail Address: ishig@unrn.edu
Address of Facility:
Address: 17 Station Ave
City: S Yarmouth State: MA
Zip Code: 02664
Electrical Contractor Company(if appropriate): 'FREEDOM VER M S AC '_:SLT S ._0
:.. Contractor Name: MA I f HEW MARKHAM
0•,. Mailing Address: 135 ROBERT TREAT PAINT DRIVE
' City: rAUNTON State: MA
>; Zip Code: 02780
�', -Am Telephone (Daytime): 2.,'2 330.75vJ
>01 WulailAtdress: .lr-c M 4TS - @ FRE':=DOJrR- dER. wCM
;' License ritini : 1£. 1rA- 0!-LLAi 00
// ' Date of ap Dr£ vi.. ;,o .;I:.L�;±j �“ iis:',' :;ranted by the Company. i, i u22
Application ID number: Est z i- ,i,, ,_)L
�;: z: Work Request number: 9648349
;� ,:„Irt ct on.
'_ ' :ATh + tem has been installed and Al .iif-_ted it compliance with the local Eluq,dingiEleevici Cope
�'-. Cit +/Count Yarmouth Signed (Local Electric Wiring Inipecton. or attach
signed clectrica� °s t a ):
Signature : . . ,
ionic Printt'tl`:..:.V& `L 01
Date: }