HomeMy WebLinkAboutWell - Pump Installation Report - Miscellaneous - 505 SUTTON STREET 8/22/2023 North Andover Health Department
Community and Economic Development Division
Pump Installation Report
(to be completed before installation)
Name and size of pump: Goulds 3 HP
Type: Constant Speed Submersible Pump
Size of tank: No Tank Pump delivers: 18 GPM
Pipe used in well: ❑Cast Iron ❑Galvanized �✓ Plastic Other
Sleeve used to protect pipe? O Yes O No Type of well seal: Baker 6W
Date of completion: 01/20/2023
Signature of Pump Installer:
North Andover Town Hall, 120 Main Street, North Andover, MA 01845
Phone: 978.688.9540 Fax: 978.688.9542