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MINNEGASCO SERVICE INSTALLATION <br />Map No. 5G7 Natural Gas _! Propane Vapor I -i Permit No. <br />Municipality Orono Minneapolis C7 Order No. 21370 <br />Folio No. Date Ordered { 1 -26-22 E No T) <br />Customer's Name _ <br />Installation Address <br />Lot Bir c4 _ <br />Install <br />Tel. <br />Zip <br />Addition <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 />Additional Info. <br />ice <br />Main <br />Pressure Class <br />Date Completed 9-30- G l Foreman's Name EoSert <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Location <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />.y. <br />Date By <br />78 <br />of <br />IAuthoriied Signatures <br />