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Map No. _ <br />Municipality <br />Folio No — <br />5C; <br />MINNEGASCO SERVICE INSTALLATION <br />__ Natural Gas CD Propane Vapor □ Permit No. ■■■■■— <br />Minneapolis CD Order No. <br />__ Hatp Ordered E fyjo ______ <br />Customer's Name Torn Sween----------------------------------------------------------------Yel. ----------------- <br />Instdiation Address 1^00 Bohns Point Rood _____________________ Zip ----------------- <br />tot _____Block ______ Addition Lot 1 h PT 10*11 Aud jub _______________ <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install:________ <br />Additional Info. <br />.Service..Main .Location <br />.Pressure Class . <br />To the (City Engineer <br />(City Council <br />(Village Council *• <br />(Town Board <br />M <br />The Minnesota Gas Company herebV requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />/^ / ' iChlof Engineerl <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />//. 5 -S'/ <br />n f ' .* L ty-) <br />' (Authori/edS«g^«Ttjrei^" <br />Form 62 R 5/78