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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor Cl Permit No. <br />Municipality _=-rui,1,-' .! Minneapolis Cl Order No. 0224 ._ <br />Foy io No. Date Ordered : j ,_ -'' E No. Z44 6 <br />IL <br />ustomer's Name 17 ] (1 1 , C 1 ud Tel. <br />nstallation Address ?=0_i'=fid Zip <br />ot Block ______ Addition ' <br />MM <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: Service Main <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's Name <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 perfo, m the work <br />indicated above. <br />0 <br />To the Minnesota Gas Company <br />MINNESOTA GAS COMPANY <br />r <br />(Chi:=f Enr•-sneer) <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />11 � <br />�7-74", <br />-of <br />' Z44 , <br />Form 52 8 5/73 <br />