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Home My WebLink AboutSPRUCE HEIGHTS BLK 5 LTS 6 & 7Cot 11 1P� 12.55p Anoherage'd Veli & 7,ump Ser 9072=30742 p.3 .. r�w'v tC. j,w`fn'_•+7P".!F;-.�_.ry �a �::i�:e:lh�4 ��i�"8^:,d� �ifi�f:�i y5�, � -- 4700 Elor a Road P.Q. Box i96650 `i ceLLIF or .'V;2rk ,r Pump Installation Log Well Drilling Permit Number: S`vV Parcel Identification Number: 601- 212 - (0 (0 Date of Issue: Legal De-scription 11 Operty Osvi.Wt�i`lajne i Address: Pump Installation Date: fCf -�-- - - — - Pump Intake Depth Belau; Top of Well Casing;i": /,' feet Pump'_►'Iataufsctarex's rolause: PumpMudkl: Putatp Size tap l Pitless Adapter Burial Depth: feet PitlessAdapter Manufactarcr'sName- �vA`�'�'(�v>iji.1/' Pitless Adapter Installer: `vVeli Disinfected Upon Completion? L-Zy s [I No Method of Disinfection: , �(U j l Comments - Pump Installer iNamu: �/ fes/ ' F � ! •�� t' Attention: 'rhe pump i.riti ailer s11011 provide a p:nnp installat o:x !og to the DSU` ,A,ithin 30days of pump iamallation.