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0 <br />I <br />MINNEGASCO SERVICE INSTALLATION <br />No. Natural Gas Ej Propane Vapor 0 Permit No. <br />ticipality Ctt�' Minneapolis 0 Order No. •`_ I I. •' <br />io No. Date Ordered E No.. <br />atom it s Name I')av-Id A W _14 j m; Tel. <br />.tallation Addmus 1265 Lev=jt La Zip <br />►t �' Block _...= Addition Kils <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 <br />Main <br />Location <br />itiona n U. ------ <br />Pressure Class <br />uate uom <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />r-oreman s Name <br />The Minnesota Gas Compan, hereby requests permission to perform the wo k <br />indicated above. <br />MINNEGASCO. INC. <br />(Sr. Design 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 By <br />(Authorized Signature) <br />0 <br />Form 52 H 5� 78 <br />