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RecdMUNICIPAL in Street MINNEGAPERMIT NO. . <br />ie <br />Mpls. Cl SERVICE INSTALLATION ORDER NO. <br />sub. k <br />MM Ne. W_ Old ❑KQW 091419. C_less: ` <br />Customer's Name Tei. <br />Inste"otien Address <br />Legal Description: ,l��t,.. Blank Ne. <br />Addition <br />Coor's Nemo Tei. <br />Contr's Addre*s <br />Owner' R Name "'m Tal. <br />Owner's A <br />Dote Ordered `�' ' �'' Date wanted Taken By <br />Main Auth. Nat, ;_,,�„ Max. Damon ,d .�.,— CF/Hr. Svc. Loc: A ❑ B ❑ C <br />Add'1 Info. :.:•, <br />Dote Completed Foramen's Nome <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />� V41. 1r 1,- �Z•� <br />(Asst. Chief Engr.) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Go* Company to perform <br />The work indicated e`ove. <br />Doe By <br />of <br />(Autheri sad Signature) <br />