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Recd in Street <br />Mpls. [] <br />Sub. <br />VUNICIPAL <br />MINNEGASCO PLQMIT NO. ----- <br />SERVICE INSTALLATION ORLER NO. <br />Map No. Old ❑New ❑Bldg. <br />Customer's Name <br />Installation Address <br />Legal Description: Lot No.T�^ Block No. <br />0-N0. <br />Class <br />Tel. _ <br />Contr's Name Tel, <br />Contr's Address <br />Owner's Name _ Tel. <br />Owner's Address _ <br />Date Ordered- - Date Wanted _ Taken By _ <br />Main Auth. No. ''-Max. Demand �'CF/Hr. Svc. Loc <br />Add'I Info. _ --1n <br />Date Completed <br />To the (City Engineer <br />(City Council <br />(Vil;age Council <br />(Too i Board <br />Foreman's Name <br />ddition <br />A7�]BOrF-1 <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Asst. Chief Engr.) <br />J .• <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />-- of <br />Date By <br />(Authorized Signature) <br />