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MINNEGASCO SERVICE INSTALLATION <br />Mao No.Natural Gas LJ Prooane Vanor 1_1 Permit No. <br />Municinalitx/ __Q roriQ___________________ Miniipannli<; 1 1 Order No. <br />Folio No natp DfrierpH 4-J 7»»BQ ....... F No 7^4^46 <br />Customer's Name Willi Honvea TaI ■ <br />Installation Address 78 ik Cri^ro Point Road 7in <br />Lot _i£L_ Block h AH^itinn Casco Hftiphts <br />r • <br />t <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 Cla» <br />Date Completed Foreman's Name <br />Location ! <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indic-»ted «!• "'e. <br />^7 <br />Date ^1 ic IT . * - -• <br />(Authorised Signature) <br />! <br />Form 52 R 6/78