HomeMy WebLinkAboutALYESKA #3 BLK 21 LT 6
APPLI( NT FILLS OUT UPPER HA[ ONLY
Pr°pertyoWner Terrance & Barbara Bushue Phone
Mailing Address P.O. BOX 41, McGrath, Ak. 99627 ZipCode 99627 524-3078
Buyer Thomas C. Sweat
Address 7726% Duben St., Anchorage Zip Code 99504 345-7155
Lendlnglnstltuti°nTeamsters Cr~ldit Union (Jean Oldre) Phone
Address 1200 Airport Heights Rd., Suite 430, Zip Code 99504 276-8180
Realty Co. & AgentJack White Co. (Jack Vanden Berg) Phone
Address 3201 C St., Anchorage, Ak. ZipCode 99503 277--1553
Lsga~ Descdpt~n Lot 6, Block 21, Alyeska Sub., 3rd Add.
slreet Locati~ Corner of Lower Terrace & Alyeska Ave.
Type of Residence
~ Single Family
[] Multiple Family No. of Bedrooms. 4:' ! '
[] Other
Water Supply
[] Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
[] Community For wells drilled prior to that date, give well depth (attach log if available).
~j~ Public Utility
Sewer Disposal
~ Individual Year Individual Installed:
[] Public Utility When Connected to Public L~t~-I~{~--'~
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
.RECEIVED
( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAP~OVED
Soils Rating Date ~wer Installed Well To Absorption Area Welt Log Received
Well to Tank Septic T~k Size
72.023 (3182)