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Roc'd in Strout MINNEGAS�O <br />Mpl s. 1:1 SERVICE.INSTALLATIQN <br />MUNICIPAL <br />PERMIT NO_ <br />_____r._ <br />ORDER NO. <br />Sub. E-NO.-- <br />Mopp No. r, Q14 C3NvkwE3 13 1 do.7 Clams ...--- <br />CustoAler's Noma <br />''1e1. -- <br />Installation Address <br />Legal Description: Lot No. Block No. - <br />'' Addition. <br />Contr's Nome Tel. <br />Contr's Address <br />Owner's Name Tal. <br />Owner's Address -- <br />Date Ordered Date Wanted Taken By <br />Main Auth. No. Max. Demand _____, CF/Hr. ! Svc. Loc: A Q B 0 C ❑ <br />Add' I Info. ---- - <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minueapoli s Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Asst. Chief Engr.) <br />To the Minneopoli s Gas Company <br />Porwi ssion is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date' <br />rem I&S 1/" <br />of <br />y �. <br />(Authorised Signature) <br />