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f MINNEGASCO SERVICE INSTALLATION <br />Map No. 585 Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality ��� .._ Minneapolis ❑ Order No. -U-126_._,.,_ <br />Folio No. Date Ordered 9-1 t —AS E No. , I. <br />Ouatowaer's Name Hobert Haa�ala Tel. <br />anAddraaa Zip <br />C �._.y Block __._ Addition <br />Medved of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegesco Operations Manual, Section 500, "Ex;.avating, 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 Complaw Foreman's Name - <br />To the (City Engineer <br />(City Council <br />(Village Council <br />Permission to perform the work indicated <br />Sn& 121 <br />. MINNECiASCO. INC. <br />CITY of ORM)--- <br />To Minnegasco, Inc. <br />Permission is hereby granted Minnegasco, Inc. to perform the work indicated <br />above. <br />of <br />Date By <br />1401--ired Sienstu <br />Form 52 A 5/78 <br />