Laserfiche WebLink
Map N«. <br />f * <br />Municipality <br />Folio No____i <br />MINNEGASCO SERVICE INSTALLATION <br />__Natural Gas Cl] Propane Vapor □ Permit No. <br />• , - Minneapolis □ Order No. <br />_______I_____Date Ordered ______E No. <br />I t:: 7 r <br />Customer's Name <br />installation Address <br />Lot______Block _ <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 5(X), "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the r*<*rmit* r,., iiuthority. <br />Install:Service Main Location <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's Name <br />To the (City Engirteer <br />(City Ck)uncil <br />(Village Council <br />(Town Board <br />The Mirtnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />/ <br />^ 1 ^ A. <br />X/(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 />0 ^0 nf ■ // <br />/ rr 'X / ,Hy I K' ‘ <br />tAuthorized Signsrur*) <br />Fofm n S/71