HomeMy WebLinkAboutLAKE HILL ACRES #1 LT 177
Mark eegich
Mayer
Devetapm nt Services bepartment
Building Safety Division
On -Site Water c Wastewater
4700 Sragaw 5 ree.t
P.O.Sax 196654
Anchorage, AK 99519-6650
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1907) 343-7904
Pump Installation Log
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ell Drilling Permit number: SW___
a -cel Identification Number:_
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Date of Issue: _
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:gal Description
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Property Owner Name & Address:
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;lap Installation Date:
imp Intake Depth Below Top of Well Casing:pi/O feet
imp Manufacturer's Name: lied .JAC,
imp Model: 7SC.2 /1 85 12
imp Size SA hp
Hess Adapter Burial Depth: —feet -1;F
:dess Adapter Manufacturer's 1`iameifWg//
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ttention: The pump installer shall provide a pump installation lag co the DSD within 30 days of pump installation-