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Rcc’d in Street <br />Mpls. <br />Sub. . <br />_Map No. <br />MINNEGASCO <br />SERVICE INSTALLATION <br />___Old [New I I Bldg. <br />MUNICIPAL <br />PERMIT NO. <br />ORDER NO. <br />E-NO. <br />______Closs <br />Customer's Nome _________ <br />Instollotion Address ______ <br />Legal Description: Lot No. <br />Tel. <br />Block No. <br />Addition _ <br />Contr's Nome__ <br />Contr ’s Address <br />Owner ’s Nome _ <br />Owner's Address <br />Dote Ordered __ <br />Moin Auth. No. _ <br />Add'l Info. ____ <br />Tel. <br />Tel. <br />Dote Wanted <br />Max. Demand <br />Taken By <br />CF/Hr. Svc. Loc: AI I B I ICI I <br />Date Completed Foremen's Nome <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />i MINNEAPOLIS GAS COMPANY <br />/rl*» u V- <br />(Asst. Chief Engr.) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapol is Gas Company to perform <br />the work indicated above. <br />Do.. 7, 5 f <br />of <br />By <br />(Authorized Signature) <br />Fern S2-3 1/S3