National Grid
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MA DG Exhibit A Manuel German Application
Interconnecting Customer Details
Interconnecting Customer Name
Contact Person Name
Email
Telephone
State
City
Zip Code
Mailing Address
1616 Comden Rd Suite 300
Host Retail Customer
Retail Customer Name
Contact Person Name
Email
Telephone
Landowner Name
Landowner Email
Landowner Telephone
Landowner Mailing Address
Dehradun Uttarakhand
State
City
Zip Code
Alternative Contact Information (System Installation Contractor Company)
Company Name
Contact Name
Email
Telephone
Facsimile Number
State
City
Zip Code
Mailing Address
Chicago California
Electrical Contractor Contact Information
Name
Email
Telephone
State
City
Zip Code
Mailing Address
27 Thornton st
Ownership Information (Include % ownership by any electric utility)
Confidentiality Statement
Yes
No
Facility Information
Address Of Facility
622 Haverhill St apt 2
State
City
Zip Code
Electric Service Company
Account Number
Meter No
Work Request Number
MTC ID
Delivery Services Summary
+ Add Row
Inverter Manufacturer
Model Name And Number
Quantity
Nameplate Rating (KW AC)
Nameplate Rating (KWA)
Nameplate Rating (AC Volts)
Type
Single Phase
Three Phase
System Design Capacity
Nominal in kWac
Nominal in kVA
Maximum in kWac
Maximum in kVA
Applying For MA SMART ?
Yes
No
Is this a standalone system ?
Yes
No
Prime Mover
Photovoltaic
Reciprocating Engine
Fuel Cell
Turbine
Other
Energy Source
Solar
Wind
Hydro
Diesel
Natural Gas
Fuel Oil
Other
IEEE 1547.1 (UL 1741SA) Listed?
Yes
No
For Solar PV provide the DC-STC rating
Estimated Install Date
Estimated In-Service Date
Title Name
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