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Recd in Street <br />MPS:.n <br />MINNEGASCO <br />SERVICE INSTALLATION <br />MUNICIPAL <br />PERMIT NO. _ <br />ORDER NO. <br />Sub.01t©t10 E -NO. <br />Map No. &V Old❑ Now[:] Bldg. Class <br />Customer's Name r hur hi Tel. <br />Installation Address 1"S ...Charru P 1. act <br />Legal Description: Lot No. Block No. <br />rt.. -...1 2,M.. u1. - Addition. <br />Contr's <br />Contr's <br />Owner's <br />Owner's <br />Name <br />Address <br />Tel. <br />Tel. <br />Name <br />Address <br />Date Orderedg.Z—_ Max. Demand CF/Hr. Taken By <br />Main Auth. No r-.ja Service Location: Right EI Left ❑ Front El <br />Add'I Info. 5/8,, EE Sigrv, i ', L 51WIL Ira L5 <br />2411 <br />Dote Completed Foremon's Name <br />To the (City Engine*XXX <br />(City Council bil <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 />(Chief Design Enginer) -�0% 1^ <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 6I -6R 61 69 <br />of <br />. <br />By <br />(Avthrritrrl Si�netwr� <br />