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HomeMy WebLinkAboutBLDE-26-747 COC EVERSURCE Certificate of Completion for Simplified Process Interconnections Installation Information: Installed Owner—Interconnecting Customer Interconnecting Customer Name(print):Palmetto LightReach Contact Person:Derek Heckendorn Mailing Address: 1616 Camden Rd Suite 300 City:Charlotte State:NC Zip Code:28203 Telephone(Daytime):18553391831 (Evening): Facsimile Number: E-Mail Address:utility@golightreach.com Address of Facility: Address: 76 PLEASANT ST City:SOUTH YARMOUTH State:MA Zip Code:02664 Electrical Contractor Company(if appropriate): PlugPV,LLC Contractor Name:Nadia Zandra Mailing Address:630 7th Ave City:Troy State: NY Zip Code:12182 Telephone(Daytime):15189485316 E-Mail Address:nzandra@plugpv.com License number: Date of approval to install Facility granted by the Company: Application ID number:ESMASI-66351 Work Request number:26683889 Inspection: The system ha been installed and inspected in compliance with the local Building/Electrical Code of (City/County) iW toJ Signed(Local Electric Wiring Inspector,or attach signed electrical inspection): 111111 Signature: Name(Printed): ( C(1 Date: 7( (—LA, License# U L?/