HomeMy WebLinkAboutSigned COCEVERSryURCE
Certificate of Com letion for Sim lified Process lnterconnections
lnstallation lnformation:
lnstalled Owner - Customer
lnterconnecting Customer Name (print):
Contact Person: STEPHANIE FLYNN
Mailing Address: 31 WEBBERS PATH
City: WEST YARMOUTH State: MA
Zip Code: 02673
Telephone (Daytime): 2395954128 (Evenin6):
Facsimile Number:
E-Mail Address: ESTHETICALLYFIT@HOTIVIAIL.COM
Address of Facility:
Address: 31 WEBBERS PATH
City: WEST YARMOUTH State: MA
Zip Code: 02673
Electrical Contractor Company (if appropriate): Empower Energy Solutions lnc
Contractor Name: Lando Bates
Mailing Address: 51 Assabet Dr
City: Norlhborough State: MA
Zip Code: 01532
Telephone (Daytimel: 77 4249 1687
E-Mail Address: Lando.B@EmpowerEnergy.co
License number:
Date of approval to install Facility granted by the company
Application lD number: ESMASI-47532
Work Request number: 7927 4168
The system h
(City/County)
en installed and inspected in compliance with the local Building/Electrical Code of
Signed (Local Electric Wiring Inspector, or attach signed electrical
inspection):
Signature:
Date: L
Li
zt,>5
lnspection:
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