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Recd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.❑ SERVICE INSTALLATION ORDER NO. <br />Sub.. E -NO. <br />Map No. Old❑ New❑ Bldg. Class <br />Customer's Name _ Tel. <br />Installation Address Point <br />Legal Description: Lot No. 120 Block No. <br />Addition <br />Contr's Nome 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 0 Leh ❑ Front ❑ <br />Add' I Info. <br />Dote Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Chief Design Engineer) <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 />Deft By <br />(Autbrisd Signetwe) <br />FORM ss.s R a/N <br />