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MINNEGASCO SER\/i ; ;.43TALLATION <br />Map No. Natural Gas i A Proparle Vapor 0 Pern::t No <br />Municipality QLnon Minneapolis 0 Order No <br />Folio No, Date Ordered Q?d-ki 1 1 E No <br />IL <br />ustomer's Nitrte Z�521 n _nn-g t..._ , 7e1. <br />stallation Address 344Q Lake.St- � 23p <br />Of 31ock Additinn __ Atid 5tih 9 0 3 <br />Method of Installation or Cu;istruction (including method of compaction <br />and excavation) will he in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, $ackfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service --Main _ Location <br />Additional Info. <br />Pressure Class <br />Date Completed Foreman's Name <br />To the (City Enginm <br />(City Council <br />(Village Ccwncil <br />(Town Board <br />The Minnesota Gas Cornpany hereby requests permission to perform the work <br />indicated above. <br />MINNEGAlSCO, INC. <br />(Sr. Design Fngwmw) C / <br />the Minnf?sotz, Gas Company <br />Permission is hereby granted the Minnesota G -Compan r to perform the wot k <br />cated above- } <br />J � ' <br />of <br />By <br />(Au .orw#W Svinature)►dl <br />Forin 52 R 5, 78 <br />