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Recd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.0 SERVICE INSTALLATION ORDER NO. /Agp& <br />Sub. 140 E •N O. <br />_Mop No. C,x,l Old[] Now❑ 81dg. Class <br />Customer's Name 1 Tel. <br />Installation Address I 04nn. <br />Legal Description: Lot No. Block No. ; <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's NorneTel. <br />Owner's Address <br />Date Ordered i Max. Demand CF/Hr. Taken By <br />Main Auth. No. Service Location: Right ❑ Leh ❑ Front ❑ <br />Add Info. . <br />Date Completed Foreman's Name <br />To the (City Engineer 'X <br />(City Council . AN, <br />(Village, Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of <br />Dote By <br />(Autherised $19awwe) <br />FORM 91 -SR 6/ eo <br />