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MINNEGASCO SERVICE INSTALLATION <br />Map No. . Natural Gas O Propane Vapor Cl Permit No. <br />Municipality Q rnno Minneapolis C] Order No. 361 Zb <br />Folio Vo. Date Ordered 4-.12_ 7a E No. in <br />Customer's Name Jahn a 11 Tel. <br />Installation Address .75}34 E-ru.i.ew_.Llr� Zip. <br />Lot _ 9 Block _ I Addition <br />Method of Installation or Construc including method of compaction <br />and excavation) will be in accordance: with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent edition on file with the permitting authority. <br />Install: Service _iAain Location <br />Additional Info. <br />Pressure Class <br />UdEv %.UMPICICU <br />To the (City Engineer <br />(r.' , Council <br />(Villa., Council <br />(Town Board <br />r ureman s ivarria <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />PermWion is hereby granted the Minnesota Gas Company perform the work <br />indicated above. <br />of i� a ,t�✓ <br />Date 4 By <br />(Authorized Signature) <br />Form 52 A 5/78 <br />