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MINNEGASCO SERVICE INSTALLATION <br />Map No. u1C Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality Minneapolis 13 Order No. jI%`1 <br />Folio No. Date Ordered `•i-14-85 E No. 30 <br />I.Lstorner's Name ?ri uoe NatL4dahl Tel. <br />lmtiiisdvn gddmss 2250 Pine Ridge 1,a (off Pi ckey U. dB� <br />Lott Block 1 Addition Ri.n r -qvcroci <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 />Foremen's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Minnegasco Inc. hereby requests permission to perform the work indicated <br />To Minnegasco, Inc. <br />above. <br />MINNEGASCO, INC. <br />Permission is hereby granted Minnegasco, Inc. to perform the work indicated <br />of <br />Date By <br />t (Authorized Signature) <br />Form 52 R 5/78 <br />