HomeMy WebLinkAboutSigned CoCEVERS€URCE
Certificate of Completion for Sim plified Process lnterconnections
lnstallation lnformation:
lnstalled Owner - Customer
lnterconnecting Customer Name (print):
Contact Person: GARY ELLIS
Mailint Address: 40 CONSTANCE AVE
City: W YARMOUTH State: MA
Zip Codet 02673
Telephone (Daytime): 5086859940 (Evening):
Facsimile Number:
E-Mail Address: SCALLYWAG.6@HOTMAIL. COM
Address of Facilitv:
Address: 40 CONSTANCE AVE
City: W YARMOUTH State: MA
Zip Code:02673
Electrical Contractor Company (if appropriate): Devlin Contracting & Maintenance
Contractor Name: Matthew Devlin
Mailing Address: 2 Keith Way Unit 1
City: Hingham State: MA
Zip Code: 02043
Telephone (Daytime): 7 81 8120240
E-Mail Address: solar@devlininc.com
l"icense number' 21 1514
Application lD number: ESMASI-13643
Work Request number: 9266993
The system h
(City/County)
een installe and inspected in compliance with the local Building/Electrical Code of
Signed (Local Electric Wiring Inspector, or attach signed electrical
inspection):
Signature:
Name(Printed):/-a-u^ryt
Date: I t)
License # )0
Date of approvalto install Facility granted by the Company:
lnspection:
V