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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.F� SERVICE INSTALLATION ORDER NO. i <br />Sub. E-N0. _-33p_ <br />_Map No. K;,:; Old❑ New❑ Bldg. Class <br />Customer's Name Tel. <br />Instel Cation Address _----45 <br />t. <br />Legal Description: Lot No. Block No. <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered__ Max. Demand CF/Hr. Taken By <br />Main Auth. No. Service Location: Right Left 0 Front ❑ <br />Add' I Info. (j+, • , _ 1 � , :Cmtt R <br />t- <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />r.A I..I.. <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINN EAPOL IS GAS COMPANY <br />01 A A <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 />of <br />Date By <br />(Authorized Signature) <br />FORM 52-3R 6/ 69 <br />