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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.❑ SERVICE INSTALLATION ORDER NO. <br />Sub. 40". <br />E-NO. <br />Map - is so Old❑ N;iw❑ Bldg. Class <br />Customer': ame tyA�MJ. Tel. <br />Installation Address <br />Legal Description: Lot No. Block No. <br />_p__, Addition <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered Max. Demand CF/Hr. Taken By <br />0ain Auth. No. Service Location: Right ❑ Left ❑ Front ❑ <br />Add' I Info. i <br />Date Completed Foreman's Name <br />To the (City Enginee XX <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 />MINNEAPOI-IS GAS COMPANY <br />11-41 <br />QAA <br />352 /% (Chief Design Ensinee►) <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 % By <br />(A- it Si�ne�w�e� <br />FORM 90-SR M N <br />