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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor Cl Permit No. <br />Municipality ^� Minneapolis Cl Order No. 239 1-3 <br />olio No. Date Ordered E No. 30 <br />Clsttenlm 's Nsm •"gCrs~;''t.+18n Til. <br />in umadar Addreae 34 15 , tal WY ap <br />Mock e ,; Perk <br />Method of Inatallation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnagaeoo Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Servica Main Location <br />Additional Info. <br />,._.Pressure Class <br />Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />Indicated above. <br />M . INC. <br />lf�� <br />(Or. Deeign Engineenf � <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />. Dace f , y � �I <br />.A <br />By <br />81�neturel <br />Form 52 A 5/78 t <br />