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II. <br />Map No. <br />MINNEGASCO SERVICE INSTALLATION <br />— Natural Gas O Propane Vapor □ Permit No.. <br />-------------------------— Minneapolis O Order No <br />----------------------Date nrri«^rpri ~ 1 R - n '! £ No <br />. '■•■ ■■ Ml nl ----------------------------------Tel. <br />Installation Address Pir.______________________ <br />Lot _ <br />Municipality {a <br />Folio No. <br />1 1; n fi A <br />Customer's Name I),----------------- <br />.Block.Addition. <br />Method of installation or Construction (including method ol 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 />iffInstall:..Service <br />Additional Info.Location <br />I Date Completed.. Foreman's Name <br />-Pressure Class. <br />To t.’ie (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />I MINNESOTA GAS COMPANY <br />^ (Chief Enginetr) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date A. <br />I ^/to <br />^ V ' <br />By 'O ' ^ f <br />(Authorized Signature) <br />Form 52 R 6/78 <br />v