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MINNEGAS. o SERVICE INS7.4LLATION <br />unicipality <br />Map No. <br />Natural Gas 0- Ptbpane Vapor L.] Permit No. <br />M <br />Folio No. <br />Minneapolis E] Order No. <br />Date Ordered _ i - <br />� G1f tOA1e r "f Nar1�e E No. <br />. <br />Installation Address <br />Lot Block __ Addition 1 c a c . , < <t Zip <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, "Excavati <br />Surfacing'", the most recent edition on file with the permitting Backfilling authorhority. <br />Install: Service <br />Additional Info. Main Location <br />Date CompletedForeman's Mame Pressure Class <br />To the <br />KAY Engineer <br />(City Council <br />(Village council <br />( Town Board <br />above. egasc <br />Minno Inc hereby requests permission to perform the work indicated <br />MINNEGASCO, INC. <br />To Minnegasco, Inc <br />11 <br />above Permission is hereby granted Minnegasco. Inc to perform the work indicated <br />U f <br />Date <br />t By <br />(Authofited Signature) r <br />For in 52 R 5i 78 ' <br />w <br />