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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas O Propria Vapor O ft ii t lit. <br />Municipality ... ,..•,. "r.-� Miemespolia D Orwr ft. <br />Folio No. Date Ordered E Ntw <br />Pleme <br />h nom- Ad*M ft <br />in Addtlen W 26W <br />Method of Installation or Construction (including method of oon�poetloA <br />and excavation) will be in accordance with procedures as de=WW in <br />Min -spew Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recant edition on fila with the permitting authority. <br />Install: Service Main Location <br />AddkkmW I"00. <br />Pressure Class <br />To Ow (City Enonew <br />(CIty Council <br />(Village Council <br />(Town Igoerd <br />Mino"Mco kv. hereby requests permission to perform the w(uk indicated <br />MMRMOASCO, INC. <br />lb 0n1000.co, W4. <br />PWndu ion is hereby Wented Minnegesco, Inc. to perform the work indicaled <br />swan 02 R W7e <br />By <br />of <br />IAu*Wind $restos) <br />