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Map No. <br />Municipality <br />MINNEGASCO SERVICE INSTALLATION <br />— Natural Gas L3 Propane Vapor □ Permit No_______ <br />Q rono Minneapolis CD Order No. 3^26 <br />Customer's Name Hunh R. Morris T«l ■ <br />Installation Address C-.TS'^n Pt Hcl Tin <br />Lot k RInck 0 A^^ition Towns!aht of Lanndon Park <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:. — <br />Additional Info. <br />Service Main Location <br />Pressure Class <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />f ^ (Chief Engineer) <br />^ A <br />To the Minnesota Gas Company ■4 <br />Permission is hereby panted the Minnesota Gas Company to perform the work <br />indicated above. <br />G 1 Lv of ^ jOr^rinr-i,.................... <br />n.'itA 1 ~ \ ^ '7 0 ..... <br />/ / ( f . <br />(Authorized Sienatur«) | <br />form 52 R 5/7»