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MINNEAPOLIS GAS COMPANY <br />To the Building Inspector <br />City or Village of <br />Auth. No. <br />For yew infarmetien, the Minneapolis Gas Company has received a survey from the Installer <br />indicated below and has this dote authorized the use of natural gas for this r.-sidential space <br />hooting installation. If survey is for now construction, we will have the capacity and focili. <br />ties to serve the installation when we have installed the pas service pipe and/or meter. <br />City or <br />Custema address :) L) a Z'i. i;rnwa t.t: Village <br />Customer NTS, Brown <br />Installer Su-crior Furnac Coziovn , City or <br />Installer oddress 121 iy. 42nd Avenue Village <br />Equipment -' ' — Heat Loss <br />Construction: New ❑ Old 17 Input BTU <br />Well October lb ,19 <br />pww >II <br />Z;--O <br />LI COMPANY <br />Awherised Signature <br />Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpla. ❑ SERyICE INSTALLATION ORDER NO. <br />Sub. E -NO. <br />Ne. Old ❑New ❑Bids. Class <br />Customer's Name Tel. <br />Instelletion Address <br />Legal Descrip"an: Let No. Block Ne. _ <br />A ddi tion <br />Centr's Neme Tel. <br />Contr's Address <br />Owner's Nome Tel. _ <br />Owner's Address _ <br />Dare Ordered Date wanted Taken By <br />Mein Auth. Ne. Max. Demand CF/Hr. Svc. Loc: A❑BOC❑ <br />Add'I Info. <br />Data Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Villege Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Asst. Chief Eng►.) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />Date By <br />(Authorized Signature) <br />Few W31/63 <br />