HomeMy WebLinkAboutEversource signed COCEVERSEURCE
Certificate of Completion for Simplified Process lnterconnections
lnstallation lnformation:
lnstalled Owner - Customer
lnterconnecting Customer Name (print):
Contact Person: BENITA PIERCE
Mailing Address: 16 PIERCE ST NEW
City: W YARMOUTH State: MA
Zip Code: 02673
Telephone (Da6ime): 5082925548 (Evening):
Facsimile Number:
E-Mail Address: BENITAPIERCE@COMCAST.NET
Address of Facility:
Address: 16 PIERCE ST NEW
City: W YARMOUTH State: MA
Zip Code: 02673
Electrical Contractor Company (if appropriate): FREEDOM FOREVER MASSACHUSETTS LLC
Contractor Name: MATTHEW MARKHAM
Mailing Address: 135 ROBERT TREAT PAINE DR
City: TAUNTON State: MA
Zip Code: 02780
Telephone (Daytime): 40'1 3307509
E-Mail Address: PERMITSMA@FREEDOMFOREVER.COM
License number:1 1 ?A[it
Date of approval to install Facility granted by the Company: 1 1 I 1 lZO23
Application lD number: ESMASI-34164
Work Request number: 15112045
lnspection:
The system has been installed and inspected in compliance with the local Bu ild ing/Electrica I Code of
(City/County)
inspection):
Signed (Local Electric Wiring Inspector, or attach signed electrical
Signature :
Name(Printed):LI C)-uto /7
Date: I z3r(
License #)o t>