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Rec'd in Street <br />Mpis. <br />Mop <br />MINNEGASCO <br />SERVICE INSTALLATION <br />MUNICIPAL <br />PERMIT NO. _____ <br />ORDER NO. I, I <br />E*NO. ^ ^ lA <br />pIdQ NewQ Bldg.Class <br />Customer's Nome' <br />Installation Address ____ <br />Legal Description; Lot No. <br />Fc f t y I Tel. <br />+Block No. <br />Contr ’s Name__ <br />Contr ’s Address <br />Owner's Nome <br />. Addition <br />Tel. <br />Owner's Address <br />Date Ordered <br />Tel. <br />Main Auth. No. <br />Add'l Info. <br />tr Max. Demand CF/Hr. Taken By <br />Service Location: Right <br />fx—5******—*****— <br />Left Q Front | | <br />Dote Completed Fo'eman's Name <br />To the (City Engineer <br />(City Council CALL <br />(Village Council <br />(Town Board <br />$ <br />The Minrteapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />r* CA/l/V Wa-H—> <br />(Chief Design Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby gronted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date. <br />(Author I ted Signotwre) <br />FORM 5?.3R 6 69