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Rec'd in Street <br />MUN ICIPAL <br />MINNEGASCO PERMIT NO. <br />MPIs.❑ SERVICE INSTALLATION ORDER NO. <br />Sub. t)Rjj�i E -NO. --moi€, <br />Map No. Old❑ New[:] Bldg. Class <br />Customer's Name Kati:ron Tel. <br />Installation AddressA", <br />Legal Description: Lot No. Block No. <br />Addition_ <br />Contr's Name 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 ❑ FrontE] <br />Add'I Info. ' *i3'N.Shine�- <br />Date 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 />C� <br />(Chief Design Engineer) <br />i r s <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the woo -k indicated above. <br />of <br />Date <br />Authortted St4roture) <br />WORM 152-3R 6 69 <br />