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Map No. _ <br />Municipality <br />Folio No__ <br />»70 <br />Customer's Name DavkI Hybre <br />MINNEGASCO SERVICE INSTALLATION <br />, Natural Gas Q Propane Vapor LJ Permit No. <br />Minneapolis O Order No. <br />________________Date Ordered I 0~?8»»b 1_______ g jyjQ <br />_____Tel. <br />------ Zip <br />7446 <br />Installation Address Ctisco Pi. P>d._________________ <br />Lot __Block ^ Addition Towitsile. Laiigdoo P^rk <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 />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 />/ (Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Comn.any to perform the work <br />indicated above. <br />--------r-of <br />n;,.„ //'5-g'/ <br />'------- <br />/ , <br />Ry _ / ‘ <br />/7 <br />(Authorized Signaturef <br />Fom. 52 R 5'78