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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.❑ SERVICE INSTALLATION ORDER NO. <br />Sub. %0NO E.N 0. <br />Map No* Old❑ Now[:] Bldg. Class <br />Customer's Nome" ' Tel. <br />Installation Address-- <br />Legal <br />ddress`Legal Description: Lot No. Block No. <br />AAA*.*:.. <br />-- V -1.W %+ V ■ . v.. <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered Max. Demand _ CF/Hr. Taken By <br />Main Auth. No. Service Location: Right [] Left [] Front (] <br />Add' I Info. <br />Date Completed Foreman's Name <br />A.0 M. <br />To the (City EngineerALL <br />(City Council <br />(Village Council <br />(Town Board <br />The Mirneopolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />212 9 (Chief Design Engineer) F4 <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date <br />FORM 52.2R 6/69 <br />(Autheri:ed Signature) <br />