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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />MPIs.R SERVICE INSTALLATION ORDER NO. <br />Sub. E-NO. _ <br />Map No. Old[] New❑ Bldg. Class <br />Customer's N m �, jC, 1 e4 ,,-. _ Tel. <br />Installation Address— 349S r ey 6 to l P I -=,m <br />Legal Description: Lot No. Block No. <br />rid Addition <br />Contr's Name r <br />Contr's Address <br />Owner's Name <br />Owner's Address <br />Tel. <br />Tel. <br />Da`e Ordered :_-7 Max. Demand CF/Hr. Taken By <br />Mait; Auth. No. Service Location: Right [] Left 7 Front [] <br />Add'I Info. _ fAt, <br />��- _ _1, <br />Date Completed Foreman's Name <br />To the (City Engineer. A'X <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 />(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 />Date <br />:A <br />of <br />(Authorized Signature) <br />FORM 52-3R 6. 69 <br />