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+!r�,�+.+-.-«.. ....ire....-�.. �.,..�..�.....�.�'�'^'T!/�'^�7y'T' _'..-.�..+� .... -. - .�.�._. �._ . _ w. - - .. _ .� �--��..r.►. - .........�... .. .�..-..., . ..... . <br />MINNEGASCO SERVICE INSTALLATION <br />Map No. 5 Natural Gas O Propane Vapor D Permit No. <br />Municipality --=p Minneapolis 1:1 Order No. �e c <br />Folio No. Date Ordered - - E No. <br />[at <br />Is Name .1nreg ilSa al Tel. <br />nstallation Address �j � h 5, i 1 i 1 rl W n n r) a A 4 ,a � Zip <br />Dock Addition LAQ4161811 Rag i <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegesco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing". the most recent edition on file with the permi i <br />Install: Service <br />Additional Info. <br />Main <br />Date Completed 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 />above. <br />MINNEGASCO, INC. <br />Permission is hereby granted Minnegasco, Inc. to perform the work indicated <br />above. <br />of <br />Date By `CIyyi (lelett- 1 <br />(Authorized Signature) <br />L Form sit R W70 <br />