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Map No. <br />Municipality <br />Folio No___ <br />MINNEGASCO SERVICE INSTALLATION <br />_______Natural Gas O Propane Vapor □ Permit No________ <br />n Tfinri Minneapolis CD Order No. <br />Date Ordered E No. <br />Customer's Name <;nntvyan <br />Installation Address 373^^ aynn-if.________ <br />Lot ^7— Block -----Addition Casca. rUttghts <br />Tel. <br />Zip. <br />\ <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:Service Main Location <br />Additional Info. <br />Pressure Class <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />. i . T . ._______of ' > <br />natB ' / - <br />^ V - -r - - <br />- - // \ <br />Ry / ' y ' ^ ' <br />w •(Authorized Signatiiref ^ <br />Form 52 R 5/78