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MINNEGASCO SERVICE INSTALLATION <br />Map No. —' =" Natural Gas O Propane Vapor 0 Permit No. <br />Municipality Minneapolis 0 Order No. 30466 <br />Folio No. Date Ordered 5-7-85 E No. 30 <br />[,Lot <br />stomer's Name Pon W)C),cridclie Tel.nstallation Address 725 Dickey bake ,Jk Zip <br />' 6lock ?Addition <br />Method of Installation or Construction (in(.luding method of compaction <br />and excavation) will be in accordance with I.vocedures as described in <br />Minttegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service lk iain Location <br />Additional Info. <br />_Pressure Class <br />Bate completstd Foreman 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 Minn"asco, Inc. <br />above <br />Date <br />MINNEGASCO, INC <br />Permission is hereby granted Minnegasco, Inc. to perform the work indicated <br />of <br />By <br />tAuthorized Signature) <br />Form 52 R 517H <br />