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Map No. <br />MINNEGASCO SERVICE INSTALLATION <br />Natural Gas □ Propane Vapor □ Permit No. <br />inyo _____... Q-j ^ <br />Fnlin Nn F Nn 7U«6 <br />Custofner'i Name Paul Never T«i • <br />Installation Address 940 Dakota Ave (off .Sumac Lane)Tin <br />Lot > Hock A5%4i«inn JohnstORS Kept Albes Long Lake <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 Com pie t <br />To the <br />Foreman'i ?n.:.me <br />Engineer <br />. Council <br />llage Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permis:.ion to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />_________________________________________/ f ^ (Chief Engin—r) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />n«t« / U\r~ <br />tied Signature) <br />L Form S2 R 5/78