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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT N0. <br />Mpls.[] SERVICE INSTALLATION ORDER NO. <br />Sub. E-NO. <br />Mup No. � Old❑ New❑ Bldg. Class <br />Na <br />me ame K—Opeth E ach•#1� Tel. <br />R <br />Installation Address lr_�.,�r..� �,�t�: u1a.,t <br />Legal Description: Lot No. Block No. <br />LQ019 Lags] -Saga ttt.ta►ctwd Addition <br />Contr's Name Tel. <br />Contr's Address _ <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered I �f _ Max. Demand CF Hr. Taken By <br />Main Auth. No, Service Location: Right 7 Left 7 Front <br />Add'I Info. , 1809 pE Sery It' Main 54,•91EwLIne (i467) SS <br />"I I C l— fl l <br />Date Completed Foroman's Name <br />To the (City Engineer <br />xxx <br />(City Council CALL <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company here::, requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS 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 in6icated above. <br />of <br />Date <br />(Authorized Signature) <br />FORM 52-3R 6/ 69 <br />