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MINNEGASCO SERVICE INSTALLATION <br />Map No. 366 Natural Gas ❑ Propane Vapor ❑ p', mit No. <br />Municipality ��.; pryer+ _ Minneapolis C7 Order No. 772 <br />Folio No. Date Ordered I n— l —A l E No. - Z44_ <br />�stomer's Name �. M. —Tel. <br />Installation Address 12,_Q_ nwrkanic�n rp <br />Lot Block Addition <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: <br />Additional Info. <br />Service Main Location <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 Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. 0 <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 By <br />(Authorized ion ure) <br />Form 52 R 5/78 <br />