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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor LJ Permit No. <br />Municipality _ U ro 'j Minneapolis O Order No. bO83 <br />Folio No. Date Ordered 10-2-72 E No. 3Q <br />lL <br />stomer's Name Waido L. Nelsore Tel.nstallation Address .113 Chevy Chase Drive Zip <br />ot Block _.I Addition Hi 1 I oway Manor <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, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: <br />Additional Info <br />uate uom <br />Service Main Location <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />roreman-s Name <br />Pressure Class <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />.:. L.T of <br />Date BY i4L.1 0=4 <br />y, <br />(Authorized signature) <br />Form 52 R 5178 <br />