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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />MplSERVICE INSTALLATION ORDER N0. s <br />SubE-NO. <br />Map No. r Old❑ Newo Bldg. Class <br />Customers Name �,�.. _.,�. �— Ayeh1eF Tel. <br />Installation Address SW �. 1 <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name _ Tel. <br />Contr's Address <br />Owner's Name__ Tel. <br />Owner's Address <br />Date Ordered; Max. 'Demand CIF Hr. Taken By <br />Main Auth. No. Service Location: Right f ' ' -ft IJ Front <br />Add'I Info. filg+' PE Sari ��' j��►tn +',+•�'Ai fi inc : r'�t <br />Date Completed Foreman's Name <br />To the (City Engineer <br />r- <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 />} <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 />Date By 1 <br />(Aut6riied Signature) <br />FORM 52-31R 6/ 69 <br />