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T JMINNEGASCO SERVICE INSTALLATION <br />Map No. ,.M. I Natural Gas O Propane Vapor O Permit No. <br />Municipality Qrono Minneapolis CZ) Order No. 5453 <br />^olio No. HatP Ordered 7*2Q*8l E No. 7446 <br />Cuitomer'i Name Geor ge Qlen _______________________________jel. _____ <br />Installation Address ^t^^T^Pakota ^>^enue 2ip _____ <br />Loti0*11 Block Addition Fred Johnstons Rearrangement __________ <br />Method of Installation or Construction (including method of compaction <br />and excavation) wi|l 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: __ <br />Additional Info. <br />Service .Main Location <br />.Pressure Class <br />Date Completed Foreman's Name <br />) <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />//(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date 7/ <br />(Auth^ize^ignature) <br />Form 52 R 5/78