Laserfiche WebLink
Rec'd in Street <br />MINNEGASCO <br />MUNICIPAL <br />PERMIT NO. <br />Mp I S.n SERVICE INSTALLATION ORDER NO. <br />Sub. E-NO. <br />_Map No. Old❑ New❑ Bldg. Class <br />Customer's Name 'el. <br />Installation Address <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's NomeTel. <br />Owner's Address <br />Date Ordered Max. Demand CF/Hr. Taken By <br />Main Auth. No. Service Location: Right Left[] Front [] <br />Add' I Info. ,r_. erg: <br />t •x •r � <br />Date Completed <br />Foreman's Flame <br />To the (City Engineer <br />(City Council <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 />r <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 />Date <br />of <br />By <br />(Authorized Signature) <br />FORM 52-3R 6/ 69 <br />