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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas 0 Propane Vapor O Permit No. <br />Municipality Orono Minneapolis i] Order No. 3888 <br />Folio No. Date Ordered �,-24-80 E No. 7446 <br />ron'ttaoi7t, <br />►s Name R. W i I Sam Trmard Telon Addrqu 3460 B; reh Lane zipt I `, hock Addition <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minne.gasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main <br />Additional Info. <br />Pressure Class <br />Location <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />of <br />Date - r ," - _ , By <br />lAudwizod Si ature) <br />Form 52 R 5178 <br />