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MINNEGASCO SERVICE INSTALLATION <br />Map No, Natural Gas Propane Vapor Permit No. <br />Municipality C?t— zX1 Minneapolis L) Order No. <br />Folio No. Date Ordered E No. _ <br />Customer's Name —Nf-w Hr—wyj !Yi ,r► ,q Tel. <br />Installation Address Lit Wrl r-vr,t• I Fau Fki Zip <br />Lot Block Addition Loing t.A_(4 At tsar--hy%w U <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Ouerations 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 />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />MinnesotaThe permission perform the work <br />indicated <br />MINNEGASCO, INC. <br />(Sr Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to pe1' the work <br />indicated above. <br />of <br />Date By <br />(Authortzed Signat,re) <br />4 <br />i w i!i 52 8 5 18 <br />I <br />