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Rec'd in Street <br />MINNEGASCO <br />MpIs.❑ SERVICE INSTALLATION <br />Sub. 1RDNO <br />Map No. Old ❑ New❑ Bldg. <br />Customer's Name -- <br />Installation Address t��� <br />Legal Description: Lot No. 32 Block No. <br />MUNICIPAL <br />PERMIT NO. _ <br />ORDER NO. <br />E - N 0 . <br />Class <br />Tel. <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address _ <br />Date Ordered 7�1 �_-� Max. Demand CIF 'Hr. Taken By _ <br />Main Auth No. Service Location: Right ❑ Left ❑ Front ❑ <br />t PC <br />( 1( • I r t ! j'As r <br />A d Info. ,�� iL .?�� � � ',',a �n � �,�� i i7� ,i � I_.: <br />hI [— )A, <br />Date Completed Foreman's Name _ <br />To the (City Engineer,,, XX <br />(City Council <br />(V ; I loge Council <br />(T,.�wn Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINN EAPOL IS GAS COMPANY <br />yZ (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 - ----- ---- <br />i 4uthorized Signature) <br />FORM 52-3R 6' 69 <br />