HomeMy WebLinkAboutSigned COChE RSEEURCE
rtifi of m n for P s l o
lnstallatlon lnformation:
lnstalled Owner - Customgr
InEaconnectlng CuctottiGr ilame {prlnt):Cantact penson: MAX CESARDMrillng Addrais! 1iS REGTONALAVE
OtY: SOUTH YARMOUTH StAtE: MAap Code: 02664
Tebplrcne (Deydmelr Z?43680455 (E!renlog):
Flaslmlla Number: :'
E-M8il Addresr: MAXCESARD@yAHOO.COM
Address of Facilitv:
Address: 1 15 REGIoNAL AVE
Clty: SOUTH YARMOUTH State: MA
Zlp Code: 026
Electrlcal Crrtractor Company (if appropriate): Empower Energy Solutions lncContractor Name: Lando Bates
Mrillng Mdress: 5'l Assabet Dr
Otyi Northborough State: MA
Zip Code: 01 532
T€lephone (Dayti nlp-ll 77 424 g 1 687
E-Mail Address: Lando. B@EmpowerEnergy.co
license numb€r:
Date of approval to install Facility granted $ the Company:
Applic.tion lD number; ESMASI-46843
Work Regue't number: 19091594
cti n
tospeqtion:
The system h
(City/County)
': ilspection);
Signature :
Name(Printed)V ^,-CLI
n instilled and inspected in compliance with the local Building/Electrical Code of
Signed (Local Electric Wiring lnspoctor,.or attach signed elecuical
License #
Date:tz/,0lz-"t
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