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MINNEGASCO SERVICE INSTALLATION <br />Map No. 6 Natural Gas 0 Propane Vapor ❑ Permit No. <br />Municipality OrcxgQ Minneapolis 0 Order No <br />Folio Ne. Date Ordered E No <br />IL <br />ttoawr-9 Name B--t�: Natistr a I Tel. <br />matlation Address 74' Qi - X �= L`r Zip <br />ot .. _ 81ock �� Addition g' Tom <br />.29b <br />30 <br />Methnd of Installation or Construction (aicluding method of compaction <br />and excavation) will be in accordance wit., procedures as described in <br />Minneyasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recant rdition on file with the permitting authority. <br />Install: Service <br />Additional Info. <br />Main <br />__Pressure Class <br />Date Completed Coreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />above. <br />Location <br />Minnegasco Inc. hereby requests permission to perform the work indicated <br />MINNEGASCO, INC. <br />To Minnegasco. Inc. <br />Permission is hereby granted Minnegasco, Inc. to perform the work indicated <br />Date 7_. .. <br />of <br />By <br />(Authorized S <br />Forrn 52 Gi ` 18 <br />