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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor FA Permit No. <br />Municipality ro'"' Minneapolis 0 Order No. 2610 <br />Folio No. Date Ordered f,- E No. 71, 4 6 <br />l <br />ustomer's Name Gre: ory Loo,.j Tel.nstallation Address `' r a Bay K:,a�i Zipot Block Addition 'la 1 aces Udn to i 1 oi MCk.a iiear.h <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install : Service <br />Main <br />Additional Into. <br />Pressure Class <br />Liatu VVIIIu1CicU <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />ty11C•Jll�7l'i•11n1-J <br />Location <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date <br />y <br />(Authorized Signature) <br />."L.- <br />Form 52 R 5/78 <br />