HomeMy WebLinkAboutMEADOW ROAD LT 1-S-3-, 10 20 04:r -2r- Anoho:age. WGN &Pump Set ;.C,7243074? p 7
L
'Vark SegiCl-,
Mayor
Pump Installation Log
Well Drilling Nxinit Number: SW__.
Date (if Issue.
Parcel Identificatiou Nuvjibe,;
Legal Description.
I ropeeVy Owner Name '4diress:
Me -4 0,- C1
Pump Installaiion Date -
Pump bitake Depth Below'fop of NVell Casing: feet
F*ufnp N1.1fluloctuit-er-'s. Niwe: /Id IT
PUX151) Model:
ii
runio Size P
Pitless Ad3riter But in) Depth- feet
PitlessAdapter Mmie. f
Pitless Adapter IwAaller-:
NAW Oismfect:Ld Upon Compktion? wf Y.S El Nu
Nlethp-d of Disinfectlow.
comments: Pates
Pump Installer Name. :,"olchorage dell & pmr;p 'S' ;; -, ." .
.330 East 76th Avenge
Anchor3ge, AK 99",'18
Rive: 907-243-0740
Fa4: 007-243-07G
AttenTiOtl: The PLT,-.[, Ult"ILer'sha-11 P;Ovidu a P,-Unp Lmaa?Jation log to the DSD within 30 days of purnp ini, Jjatj,,.,, ,
a I