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Home My WebLink AboutBELLA VISTA #1 LT 19Mark Bog/ch Mayor beve,lopmcnt Services Building S~fcty Division On-~r~ W~t~r .~ W~stew~ter 4,00 Bragew Street ~.~. Box 196650 Ancho~'age, AK ~5!9-6650 ~907) 343 Pump Installation Log Well Drilling Permit Number: SW. Date of Issue: Parcel Identification Number:__ Legal Descriptio- :,' /,r. ,-~)._1[ Property Owner Name & , Address: ' 'Il -~a,~ ~.~ .~ .L 0 7~ ~ / ~x~ ~-. ' II ~,¢)c~. ~ Pump Installation Date: 8 ~'l~'lq Pump Intake Depth Below Top of Well Casing:/fO~ feet Pump Manufacturer's Name: Pump Model: ~O ~1~ ~}~.l~ Pump Size ~/~-~ hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: ~ Well Disinfected Upon Completion? ~ No Method of Disinfection: 1~ ~... ~ Comments: Pump Installer Name: Anchorage Pump & Well Ser¢i~e 330 East 76th Avenue Anchorage, Alaska 99518 Phons: 907-243-0740 Fax: 907-243-0742 Attention: The pump installer shall provide apump installation log to the DSD within 30 days ofpumap installation.