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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No <br />Municipality ORONC Minneapolis ❑ Order No <br />Folio No. Date Ordered 8-3-82 E No. <br />ICustomer's Name Woodcl i f fe Dev Co Tel. <br />Installation Address a070 Fairview Lane Zip <br />Lot 3 Block 2 Addition Fairviiw <br />1 06 <br />30 <br />Method of Installation or Construction (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 _ Main Location <br />Additional Info. <br />Pressure Class <br />uate uomwetea <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Foreman's Name <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 />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Y244 <br />of <br />2 G <br />By <br />(Auth z fjpnature) <br />Form 52 R 5/78 <br />