Certificate of Completion - National Grid
ATTACHMENT 2 | |
|Certificate of Completion for Simplified Process Interconnections |
|Installation Information: | |Check if owner-installed |
|Customer or Company Name (print): | |
|Contact Person, if Company: | |
|Mailing Address: | |
|City: | |State: | |Zip Code: | |
|Telephone (Primary): | |Telephone (Secondary): | |
|Fax: | |Email: | |
| |
|Facility Address (If different from above): | |
|City: | |State: | |Zip Code: | |
|Account Number: |
| |
|Meter Number: |
| |
| |
|Electrical Contractor’s Company or Name (print): | |
|Electrician Name, if Company: | |
|Mailing Address: | |
|City: | |State: | |Zip Code: | |
|Telephone (Primary): | |Telephone (Secondary): | |
|Fax: | |Email: | |
|License number: | |
| |
|Date of approval to install Facility granted by the Company: | |
|Application ID number: | |
| |
|Inspection: |
|The system has been installed and inspected in compliance with the local Building/Electrical Code of : |
| |
|(City/Town) |
|Signed (Local Electrical Wiring Inspector, or attach signed | |
|electrical inspection): | |
|Wiring Inspector Name (printed): | |
|Phone Number: | |
|Email Address: | |
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