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Recd in Street <br />MINNEGASCO <br />MUNICIPAL <br />PERMIT NO. <br />MPIs.0 SERVICE INSTALLATION ORDER NO. <br />Sub. E -NO. <br />Map No. Old ❑ NewF_1 Idg. Class <br />Customer's Name_ _ Tel. _ <br />Installation Address Casco t <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name n 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 Left (] Front [-] <br />Add' I Info. <br />--- - — ..n r. i r.. � r r•��.► r—+-�+—�.--rte+--�. <br />Date Completed <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Foreman's Name <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />f <br />sir <br />C <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 />Date <br />FORM 52-3R 6 69 <br />of <br />(Authorized Signoture). <br />