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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.11 SERVICE INSTALLAT,'ON ORDER NO. rii <br />Sub. ORONf1 E-NO. 330- <br />Map No. Old❑ New[,, Bldg. Class <br />Customer's Name Tel. <br />Installation Address <br />Legal Descripticn: Lot No. 9TIoc No. <br />+1-V I* -�L _ Addition <br />Contr's <br />Contr's <br />Owner's <br />Owner's <br />Name <br />Address <br />Name <br />Address <br />Tel. <br />Tel. <br />Date Ordered Max. Demand CF 'H•. Taken By -- <br />Main Auth. No. Service Location: Right 0 Left [] <br />Add' I Info. 5AI, PE S*ry , <br />---10ff— S! <br />Date Completed Foreman's Name _ <br />To the (City Engineer XX <br />(City Council 411 L <br />(Village Council <br />(Town Board <br />Front <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINN EAPOL IS GAS COMPANY <br />(Chief Design Engineer) — <br />2 <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />Date <br />By <br />(Authorized Signature) <br />FORM 52-3R 6/ 69 <br />