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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. , <br />Mp18.0 SERVICE INSTALLATION ORDER NO. -•=� <br />Sub. E-NO. <br />Map No. Old❑ Now❑ Bldg. Class <br />Customer's Name .'c' Tel. <br />Installation Address " ;-. <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name Tel. <br />Centr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered Max. Demand CF/Hr. Taken By <br />Main Auth. No, Service Location: Right.0 Left[] Front 0 <br />Add'I Info. P., <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Y <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />114 U, <br />(Chief Design Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />Datq By <br />(Avtheri:ed Signature) <br />FORM WS R 8/69 <br />