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MINNEGASCO SERVICE INSTALLATION <br />Map No. — Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality 0 rono Minneapolis Cl Order No. 41 79 <br />Folio No. Date Ordered 1 0.1.79 E No. 30 <br />Customer': Name Richard G We 1 1 s Tel. <br />Installation Address 131 Chevy Chase Dr Zip <br />Lot . 6 Block I Addition 1 a• Manor <br />Install: <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 />Service Main <br />Location <br />Additional Info. <br />Pressure Class <br />uate c:om <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Foreman's Name <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 />Date 1 —3 <br />—1 / W <br />Form 52 R 5/78 <br />r r of <br />By a <br />(Authorized Sign <br />