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Ret'd in Street <br />MUNICIPAL <br />MINNEGASCO <br />PERMIT NO. <br />Mpls.O <br />SERVICE INSTALLATION <br />ORDER NO. <br />Suba;h; Pt ; <br />E-NO. <br />Map No. <br />Old[] New[ Bldg. <br />Class <br />Customer's No <br />3 . <br />Tel. <br />installation Address <br />__ 2;,, <br />Legal Description: <br />Lot No. Block No. <br />Contr's Novae <br />Addition <br />Tel. <br />Centr's Address <br />Owner's Name <br />Tel. <br />Owner's Address <br />Date OrderedL._ <br />Max. Demand � CF/Hr. <br />Taken By <br />Main Auth. No. <br />Service Location: <br />Right ❑ Leh ❑ Front [] <br />Add' I I nfo. <br />; <br />Doh Completed Foreman's Name <br />To the (City 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 />(Chief Design Enginew) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the w r A indicated above. <br />of <br />Dotg,_ By <br />(A�iser hlgn�lwe) <br />FORM •SJA M N <br />