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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality 0 rano Minneapolis O Order No. <br />Folio No. Date Ordered 7——yy 1 E No. 30 <br />Customer's Name Paul Oe Cgai`nii Tel. <br />Installation Address 189 Cancord i a St ree r tip. <br />Lot I-2 Block Addition CnffvF•c Arid a Srladywnod <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: Service <br />Additional Info. <br />Main Location <br />Pressure Class <br />Date Completed Foreman's Name <br />ro the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <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 <br />Form 62 R 5/78 <br />M <br />of <br />(Authorized Signature) <br />