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Rec'd in Street <br />MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />MPIs.❑ SERVICE INSTALLATION ORnER NO. }.. %1 <br />Sub. E-NO. 1ju <br />_Map No. Old❑ New❑ Bldg. Class <br />Customer's Name_ Curs. kni ;east. Tel. <br />Installation Address 27-AQ -hr? A ve <br />Legal Description: Lot No. _ •i:,4 Block No. - <br />Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name____ Tel. <br />Owner's Address <br />Date Ordered ,-- j _ 77 Max. Demand CF/Hr. Taken By <br />Main Auth. No. Service Location: Right ❑ Left ❑ Front ❑ <br />Add'I Info. �13— AA 1e, v 1 +li^ j L IA- 7 ' L <br />-- PS.T <br />Date Completed <br />Foreman's Name <br />Y <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permissif., � to perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />I0 } <br />(Chief Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the.Minnesota Gas Company to perform <br />the work indicated above. <br />Date <br />0 <br />of r t^ <br />(Authorized Signature) <br />FORM 52•3R G/ 69 <br />