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Rec'd in Street <br />MINNEGASCO <br />Mpls.F SERVICE INSTALLATION ORDER NO. -r <br />Sub.;)ksNo E-NO. <br />Map No. Old[] NewF Bldg. Class <br />Customer's Name Tel. <br />Installation Address w'. • <br />Legal Description: Lot No. Block No. <br />Contr's Name <br />Contr's Address <br />Owner's Name <br />Owner's Address <br />MUNICIPAL <br />PERMIT NO. <br />Tel. <br />Tel. <br />Date Ordered_ l,%121 .;, Max. Demand CF.'Hr. Taken By <br />Main Auth. No. Service Location: Right Left El Front [] <br />Add' I Info. <br />L. �L <br />Date Completed <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Foreman's Name <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />352 <br />To the Minneapolis Gas Company <br />MINNEAPOLIS GAS COMPANY <br />0AA r• <br />(Chief Design Engineer) <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date <br />By <br />of <br />(Authorised Signature) <br />FORM 52-3R 6/ 69 <br />