Laserfiche WebLink
MINNEGASCO SERVICE INSTALLATION <br />Map No, Natural Gas O Propane Vapor 0 Perinit No <br />Municipality 0 !-Urlo Minneapolis El Order No <br />Folio No. Date Ordered E No <br />lL <br />stomer's Name Donn D, _ Htjhh Tel. <br />nstallation Address 128 Chevy Chase Or Zip <br />ot 7_ Block 2 Addition H ( 1 1 oway .Mano r <br />Install <br />6086 <br />30 <br />Method of Installation or Construr:tion (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 />Service Main Location <br />Additional Info. <br />Pressure Class <br />LJOty LVlIIW UICU <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />I VI(Tlllall a Ivalna <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 />of (l f -,n c% <br />Date By <br />(Authorhed S' sture) <br />Form 52 R 5%78 <br />