Laserfiche WebLink
MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality (fir.^131 Minneapolis C7 Order No. ? 1 } <br />Folio No. Date Ordered E No. ��1 <br />IIL <br />stomer's Name R C.g Q �}t A C. Pn t t n: Tel. <br />nstallation Address1R� ry�t Pl ar Zip <br />ot_ Block _._.L._ Addition t a i E�- <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service Main Location <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's 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 />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />of <br />Date _�.T_—_?—`r By.=�qq-; 0% A <br />Authorized Signatures <br />Form 52 R 5/78 <br />