HomeMy WebLinkAboutWERRE LT 9 WERREJun 01 21 10:29a Anchorage 'Ale -0 & rump Ser
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MUNICIPALITY OF ANCHORAGa
Development Services Department
On -Site Water & Wastewater Section 0*7t- � Phone: 907-343-7904
Fax: 907-343-7997
Pump Installation Log
Well DrAng Pern-tit Ntunber- Dateoftissue:
Parcel IdentirIcation Number: 051.231- 51
Legal Description 151ock
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Lot Property :Om,fier Name & Address:
PUMP fastallation Date:
PUMP "take Depth Be(Ow Top of Well Casing: feet
Pump Manufacturer's Name:
Purnp Model:
Pump Size: _��_hp
Pitfess Adapter Burial Depth: feet
Pitless Adapter Manufacturer,,_N, -am.,
Pltle3s Adapter Installer:
Well Disinfected Upon Co"Jetion? 0 No
of Disinfection: JV,
Comments:
-Pump Installer t ANCHORAGE WELL & PUMP SERVICE
Company:. 7540 King Street
Anchorage, AK 99518
PH: (907) 243-0740
Maftg Address
City:
State: _lip:
"ttent"": 1'he PuMP irlstallarihall provide anurnp installation 109 to On-site within 30 days of pump installation.