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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas L Propane Vapor E:1 Permit No. <br />Municipality 0rrin Minneapolis O Order No. rp1� <br />Folio No. Date Ordered I r) E No. 0 <br />lL <br />stomer's Name Lt rnuke T _ ide soi n Tel. <br />nstallation Address 141 Chev� Ch3s_ Driv e Zip <br />ot L— Block I Addition <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 Location <br />Additional Info. <br />Pressure Class <br />uate Lom <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />roreman's Name <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />LIZ4—d <br />-A-ti-L yj - I. <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 />c.1.ty of krona <br />11-29-79 <br />Date By, <br />r (Authorized Signature) <br />Form 52 R 5/78 <br />