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Site Survey Completion form
YOUR OWN DETAILS:
First Name
Last Name
Service Lovatge at Interconnection
1-Phase, 3-Wire 120/240 V
1-Phase, 2-Wire 240 V (no neutral)
Utility Company
National Grid
Eversource
Interconnection Strategy
Backfed Breaker
Tap
Roof Material
Backfeed Breaker Location
Number of Roof Structures
Tap Location
Roof Structure Type
Derate the main Breaker?
Rafter Size
Electrical Panel Breaker Rating
Rafter Spacing (on-center)
Main Breaker Bus Rating
Rafter Span
Existing Meter Location
Electrical Grounding Method
Ground Rod
Ufer
Cold Water Pipe
Utility Entrance
Underground
Overhead
Main Elctrical Panel Locatio
Internal Wall
External Wall
Electrical Panel Orientation
Submit
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