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Rec'd in Street <br />MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.FJ SERVICE INSTALLATION ORDER NO. <br />Sub. �',KUNt. E-NO. <br />_Map No. _Old❑ New❑ Bldg. Class <br />ustomer s Name Pnif. Tel. <br />Installation Address 122� Er-,-%tal ,AI R i <br />Legal Description: Lot No.GIO+ir ;y; 7 Block No. <br />e ,p_3��"� Addition <br />Contr's Name_ Tel. <br />Contr'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 [] Left [] Front 0 <br />Add'I Info. ,,1,5-1 t'E $,ery W Aalti U'--J'H';/L W-469) LS <br />eil t i t;� .•1 ty 11P..,1 — <br />Date Completed <br />To the (City Engineer,_ XY <br />(City Council <br />AL <br />(Village Council <br />(Town Board <br />Foreman's Name <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Chief Desiqn Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated cbove. <br />of <br />Date By <br />(Authorized Signature) <br />FORM 52-3R 6/ 69 <br />