Laserfiche WebLink
Rec'd in Street <br />MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.n SERVICE INSTALLATION ORDER NO. <br />Sub. x :� ca E-NO. <br />Map No. Old❑ Newn Bldg. Class <br />Customer's Name _-� _� �,��r .t <br />Tel. <br />Installation Address <br />Legal Description: Lot No.•B l^ck No. <br />r i.:Y■' Addition <br />Contr's Name Tel. <br />Contr's Address <br />Own, 's NameTel, <br />Ow.i : Address <br />Data <br />Ordered ,.�_ .1 <br />Max. Demand -- A CF/Hr. <br />Taken By <br />Main <br />Auth. No. <br />Service Location: <br />Right Left.JZ <br />Front [� <br />Add' <br />I Info. •" <br />Date Completed 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 perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Design Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />t� <br />Date gy <br />r_'(Authwi:ed Signature) <br />1'ORM 52-3R 6/ 69 <br />