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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality Ornnn Minneapolis O Order No. 361," <br />Folio No. Date Ordered 4-76-Jq E No. '20 <br />Customer'tName t_ Acenr Tel <br />Installation Address 2An n.,,, i n i ,_ Zip. <br />Lot Mock Addition N, w e <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 Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnegte Gas Company hereby squats 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 Compeny to perform the work <br />indicated above. <br />of <br />Date •' a, % By <br />