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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.1-1 SERVICE INSTALLATION ORDER NO. 6929_ <br />Sub. 010.1140 E-NO. <br />Map No. ti7Q Old❑ New❑ Bldg. Class <br />Customer's Name_ee�ioyl..��: Tel. _ <br />Installation Address_ -04, y& <br />Legal Description: Lot No. __ 1, Block No. <br />Addition <br />Contr's Name <br />Contr's Address <br />Owner's Nome__ _ <br />Owner's Address <br />Tel. <br />Tel. <br />Date Ordered Max. Demand CF/Hr. Taken By <br />Main Auth. No. Cervice Location: RightE3 Left El FrontEl <br />Add'I Info. Sig, pg <br />Date Completed <br />Foreman's Name <br />To the (City Engineer =' <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perfof m <br />the work indicated above. <br />MINNE�c.l.'fA GAS COMPANY <br />i <br />(Chief Design Engineer) <br />To the Minnesota Uas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of _ <br />Date 61 ��� �7 B l / <br />Y <br />(Authorized Signature) <br />FORM 62-3R 6/ 69 <br />