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Roc'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />MpIs,Q. _ SERVICE INSTALLATION ORDER NO. <br />Sub. E-NO. <br />Mop No Old New[] Bldg. Class <br />Customer's Name �,' 'a'';t� Tel. <br />Installation Address "j`'`` `'ri"-'l.gay :�c.• 73 <br />Legal Description: Lot No. 14 Block No. <br />Wall.:Ices Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name tea' Tel. <br />Owner's Address <br />Date Ordered ` ' 19"6 9 Max. Demand CF/Hr. Taken By <br />Mein Auth. No <br />Add'I Info. 77"77- =: Sary a" iliin :" TZT.i.rtF <br />Date Completed Foreman's Name <br />To the (Cfty Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work Indicated above. <br />MINNEAPOLIS GAS COMPANY <br />14 <br />(Chief Design Enjilisr) <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 />Dote By <br />(Authorise iignowe) <br />FORM es.s R at N <br />