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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />r Municipality .--- Minneapolis O Order No. 6956 <br />'f Folio No. Date Ordered t,.��Q�?.� E No. _T <br />` Customer's Name L�;;j c Qherhius� Tel. <br />Installation Address Zk4;-.4unwoodr.ilvaasu� Zip <br />Lot .A.lt- Block _ 8 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 />Date Completed <br />Service Main <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />rureman s ivame <br />Pressure Class <br />Location <br />• <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />gz:�Zi Z, ti- L - � -),. _ t. --1 <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 1 �; _ i j <br />C i of <br />By :4 <br />(Authorized Signature) <br />Form 52 A 5/78 <br />