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1 <br />Map No. <br />Municipality Qrono <br />MINNEGASCO SERVICE INSTALLATION <br />Natural Gas (□ Propane Vapor □ Permit No. <br />Minneapolis (□ Order No. <br />Customer's Name O.T Tnl <br />Installation Address Cvanef Pl;^cp Tip <br />ut .2__nockm <br />I Addition _^uao_LaiS£________ <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 Bo^rd <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />Z1 (Chief Engineer) <br />• / <br />y. <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />■tty .of O'p o <br />HatP ^ ry ^ <br />1 > <br />tv :(-r. <br />(Authorized Signature) <br />Form 52 R 5/78