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Rec'd in Street <br />MUNICIPAL <br />PERMIT NO. <br />MINN EGASCO <br />M 1 SERVICE INSTALLATI <br />p s•❑ ON ORDER NU. <br />Sub. 01togo E - N 0 . - <br />Map No. M9 Old❑ NewD Bldg. _ Class <br />Customer's Name �_�� Q •1 � Tel. <br />Installation Address <br />Legal Description: Lot No. _I_ Block No. <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name_ <br />Owner's Address <br />Tel. <br />Date Ordered 2—_13 Max. Demand CF Hr. Taken By <br />Main Auth. No. Service Location: Right Left ❑ Front [] <br />Add' I Info. 5/9" R Serv, 1" !pia 5' .m.ia* (1967) SS <br />ma, 5' <br />Date Completed Foreman's Name <br />To the (City EngineerX <br />(City Council CALL <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />352 <br />To the Minneapolis Gas Company <br />MINNEAPOLIS GAS COMPANY <br />(Chief Design tn..;neer) <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date <br />SO <br />of <br />(Authorized Signature) <br />FORM 52-3R 61 69 <br />