HomeMy WebLinkAboutFURROW CREEK NORTH Wells and septic decommissionedFurrow Creek North
FEB -7-2006 10:38A FROM:
AAROW PUMP & WER SERVICE, LLC
P.O. Box 110496
Anchorage, AK 99511
office: (907) 346.9355 a Fax (907) 333.6976
Palmer. (907) 745-9077 a Eagle Rlver. (907) 622.9335
70:3332828 P.1
ONWOO UCE
7232
JOB SITE
CUSTOMER
CLO CAL
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LABOR HOURS RATE
AMOUNT TOTAL MATERIAL
TOTAL LABOR
LABOR
PAY THIS AMOUNT
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SIGNATURE
(I Hereby ACknowle(19e the Setlefeatory ComDledon of the Above Deeorlbetl Wort-)
9002 93 C ERMS: APAYABLE T 10TH MONTH of
WILL BE CHARD D
fi ON OVERDUE ACCOUNTS.
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02/06/2006 23:35 5625427
MUNICIPALITY OF ANCHORAGE
WATER 3 WASTEWATER UTILITY
8000 ARCTIC BLVD.
PHONE: (907)564.2762
WATER
CONNECT PERMIT
PAGE 01
I- 1,�)
ke h
A=CC
06-0045
DATE OF APPLICATION 01/11/2006
SCHEDULED COMPLETION DATE 12/31/2006
BLOCKlLOT/TRACT LT 17
Q SINGLE FAMILY
SUBOMSION FURROW CREEK NORTH
❑ MULTI -DWELLING No.APTS
❑ COMMER'MAL
TAX CODE 1618295 GRID SW2733 AS -BUILT
STREET ADDRESS
OWNER SKYLINE INVESTMENTS LLC
PHONE
MAIL ADDRESS 9478 AUTUMN RIDGE CIRCLE ANCHORAGE, AK 995075010
CONTRACTOR LITTLE DIPPER CONSTRUCTION
❑ Repair Existing Service
ASSESSMENTS
❑X Property Only City Top
Q Line ionOn
❑ Hydrant Only ❑ 50'orlonger
Its" been Levied
❑ Main Tap - To Property Line Only
❑ To Be Levied
Main Tap 6 On Property Connect Row No.
Comments -
❑ Disconneet
❑ R&R -Main Tap Only
er
CONNECT SIZE 1'
ISSUED sp
INSPECTION! FEE S 103.00
AID ❑ CASH
PERMIT FEE S 45.20
❑ C
$ 0.00
OX11THER
DEPOSIT S 0.00
INSPECTED
REPASURSABLE TOTAL S 14820
/13Y
NUMBER
DATE
REMARKS
Existing house hooking to new main. Wig require well disconnect.
PERMITTEE (Please Print)
PHONE
MAILADDRESS
31ONATURE
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
AW WU INSPECTOR Original
/06/2006 23:35 5625427 A" PAGE 02
DATE SCHEDULED TIME INSPECTOR
$UBDtVISION FURROW CREEK NORTH BLOCKR.OT/TkIkCTLT 17
W
ILI
60 -i
r
SIZE CONN 1`
CORP. STOP
CURB STOP C TO C
FT. COPPER PIPE
1114' OR 2' KEY BOX
FT. THAW -WIRE
THAWPLATENUT
KEARNY CONNECTOR
OTHER
t N
❑ DOMESTIC ONLY ❑ BOTH FIRE A DOMESTIC
❑ FIRE LINE ONLY ❑ FIRE HYDRANT ONLY
DATE OF TAPE 1 1 • BY
SIZE MAIN ❑ ALLEY ❑ STREET 0 EASEMENT
TYPE MAIN EXCAVATOR
DISCONNECTS YES ❑. NO 3 of SIZE OF DISCONNECT
COMMENTS !?4 " w4- Ove �-7,
KEY Box LOCATION_ 3 8i ` S O F N LJ
INSPECTION REPORT -
0 LINE BLOWN OUT 1 113106 ❑ INSULATED
W hT JL. t S O lU
INSPECTOR _ V / r5
DATE 11 1 131 ❑ b
COMMENTS for), I
Awwk ' CoPPF2 S
❑ KB. A.T.W. - OK AFTER BACK -FILL
❑
OPEN BORE FLUSH
/
/
❑
200 LB. TEST
❑
MAIN CHLORINATED
1
1
❑
CHLORINE FLUSHED
/
/
OK TO TURN4)N
Q
DO NOT TURN -ON
W hT JL. t S O lU
INSPECTOR _ V / r5
DATE 11 1 131 ❑ b
COMMENTS for), I
Awwk ' CoPPF2 S