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Rec'd in Street <br />Mpls. ❑ <br />Sub. <br />MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />SERVICE INSTALLATION ORDER NO. <br />Map No. Old [D New ❑Bldg <br />Customer's Name <br />Installation Address <br />Legal Description: Lot No. _ _ Block <br />Contr's Name _ <br />Contr's Address <br />Owner's Name _ <br />Owner's Address <br />Date Ordered _ <br />Main Auth. No. _ <br />Add'I Info. <br />Date Completed <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />E•NO. <br />Class <br />Tel. <br />No. <br />Addition <br />Tel <br />Tel <br />Date <br />Wanted <br />Taken <br />By <br />Max. <br />Demand ____— <br />CF/Hr. Svc. <br />Loc: A <br />❑ <br />B <br />❑ <br />C <br />❑ <br />Foreman's Name <br />The Minneapolis (; `a Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Asst. Chief Engr.) <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 />ies 52.3 1/67 <br />