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Recd in Street <br />MINNEGASCO <br />MpIS.FJ SERVICE INSTALLATION <br />Sub. <br />Map No. Old ❑ New[ B Ing. _ <br />Customer's Name <br />Installation Address <br />Legal Description: Lot No. Block No <br />MUNICiPAL <br />PERMIT NO. <br />ORDER NO. <br />E -NO. <br />Class <br />Tel. <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's NameTel. <br />Owner's Address <br />Date Ordered ;; Max. Demand CF Hr. Taken By <br />Main Auth. No. Service Location: Right El Left [] Front Ej <br />Add'I Info. ja'' rf ,�r� ► ni. _ ----- --- <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Chief Design Engineer) <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 />(Auihwised S,gnolu,e) <br />FORM -.-3P 6 69 <br />