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i <br />�- MINNEGASCO, INC. MAINTENANCE ORDER NO <br />0 MAIN j3 SERVICE PAV. CUT NO. LEAK'IPT NO _ <br />DATE si MUNIC. r RE ,P. ACCT NO <br />FPC- or•ENO. <br />LOCATION .1�81 Fsl^� •SiG �G� <br />NATURE OF WORK ;v Cut _- t Mrn in-� - — - <br />FOREIGN STRUCTURES PRESS. CL. NEW SURFACE DISTURBED <br />Tole C, t Cl A TAP ❑ Road Mix Bituminous ❑ Dirt <br />Elac O Z O C SIZE O Hot Mix Bituminous Cl Gravel O 5 ❑ E n Portland Cement Concrete O Oilad Eatthi <br />i Light/Trel. Cable r-I 6 n F <br />Roadway <br />C3 a p K (-RoadwayO Blvd 0Walk 0Alley <br />Othe` Site Disturbed <br />i PIPE LENGTH O Same Ft. Longs Ft Shorter Ft Abandoned <br />i - _,moo: <br />{ SERVICE TAP MEASUREMENT <br />i <br />f+ DATESTARTED _ COMPLE-ED 11-lj—SS FOREMAN Mi j 1 <br />TRUCK NO. TOWN NO. FOREMANS P.R. NO. <br />To the (City F ngineer <br />(City Council <br />( Village Council <br />(Town Board <br />Thr undersigned hereby requests 1)ermissic top, -m the work <br />indicatr d above. <br />MINNE�GGA�SjCO INC. <br />(Sr. Design Engm <br />To Minnegasco Inc <br />Pere-ssron is here granted Minnegasco, Inc to perform the <br />work indicated above. <br />Ot <br />By �41— V-- <br />/ t <br />(Au" S*atW*l <br />i <br />i <br />,t <br />FORM "A MM <br />1 <br />