FORM#1360 CENTRAL MAINE POWER COMPANY

1 form # 1360 central maine power company rev 04/13 CERTIFICATE OF ELECTRICAL INSPECTION for SINGLE FAMILY DWELLING State law [Title 32 . 1105] prohibits utility companies from activating the electricity to a newly constructed single-family dwelling until the COMPANY receives certification by a state or local inspector, master electrician or limited electrician in house wiring, that the wiring complies with the National Electrical Code. This requirement does not apply to the installation of manufactured/mobile home wiring or services.

2 INSTRUCTIONS: PART 1. Print all information PART 2. - An electrician must fill in the information and sign it. Return form to CENTRAL MAINE POWER Co. PART 1 Owner's Name _____ Notification Number _____ Mailing Address_____ _____ Home Phone # - ( ) _____Time of Day (Am/Pm) _____ Work Phone # - ( ) _____Time of Day (Am/Pm)_____ Location of Dwelling: Street/Road_____ Fire Road_____ City/Town _____County _____ Other Info (ie; mailbox #, yours or neighbors; nearest neighbor; nearest pole #; etc.)

3 _____ PART 2 CERTIFICATE OF ELECTRICAL INSPECTION I certify that the electrical installations for the dwelling referred to above meet the requirements of the current National Electrical Code as adopted by the State of MAINE . Name of Electrician _____ Check One : Master Electrician ___, Limited Electrician in House Wiring ___ MAINE Electrical License #_____ Phone #( )_____ Signature _____ Date: _____ CMP mailing address: 205 Center Rd, Fairfield ME 04937 CMP Fax: 207-629-4752 CMP Email.