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MORRISON LT 7
Morrison Lot 7 #014-292-07 Mark Begich Mayor bevelopmeni' Services bepa~i'meni' Buildin9 Safei'y Division Water & Wost~w~ter Progrom 4700 Br~9ow 5tr~st P.O. Box 196650 Anchoroge, AK 99519-6650 Well Drilling Permit Number: SW Pump Installation Log Date of IsSue: 'arcel Identification Number: Legal Description Pump Installation Date: Property O,,w. ner Name & Address: 7 Pump Intake Depth Below Top of Well Casing: i 7/~ feet Pump Manufacturer's Name: PumpModel: ~O d-3'IJ Pump Size i~.hp Pitless Adapter Burial Depth: } ~9 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: .---~ Well Disinfected Upon Completion? [2(Yes [] No Method or' Disinfection: ~/O~-~ ttg,~g{.~_,7~ Comments: Pump Installer Name: Anchorage Pump & Well ServiCe 330 East 78th Avenue Anchorage, Alaska 99518 Phone: 907-243-0740 Fax: 907-243-0742 Attention: The pm-np installer shall provide a pump installation log to the DSD within 30 days of pump instaltation.