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MUNICIPAL <br />PERMIT NO. <br />Mpls.❑ SERVICE INSTALLATION ORDER NO. <br />Sub. i E-NO. <br />Map No. Old[:] Ntw❑ Bldg. Class <br />Customer's N iWe7 1 Tel. <br />Installation Address <br />Legal Description: Lot No. Block No., <br />- Addition <br />Contr's <br />Contr's <br />Owner's <br />Owner's <br />Rec'd in Street <br />Name <br />Address <br />Name_ <br />Address <br />MINN EGASCO <br />Tel. <br />Tel. <br />Date Ordered 6�1. Max. Demand CF/Hr. Taken By <br />Main Auth. No. Service Location: Right ❑ Left ❑ Front ❑ <br />Add' I Info. <br />Mt <br />- Date Completed Foreman's Name _ <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINN EADOLIS GAS COMPANY <br />(Chief Design Engineer) <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Datr <br />of <br />By <br />(Authorized Signature) <br />FORM 52-3R 6/ 69 <br />