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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas 0 Propane Vapor CO Permit No. <br />Municipality r' "Q Minneapolia CJ Order No. 184 � 0 <br />Folio No. Date Ordered y' 1 Z- 8 3 E No. 30 <br />[it, <br />lponwrs Nuite Aa n r a c, lc t- A n <br />ou ledon Address = n U n F ��,, ; n �: t . a tip <br />ot _lfilroelc �_ Addition Eavvirlw <br />Method of Installation or Construction (including method of compaction <br />and excavation) will be in accordance with procedures as described in <br />Minnegaaco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most - ecent edition on file with the permitting authority. <br />Install: Service Main Location <br />Additional Info. <br />Pressure Clan <br />Date Completed For- nan's Name <br />To the 4City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />A. <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Compan, to perform the work <br />indicated above. <br />��. —of <br />Date By <br />(Authorized Signature) <br />Form 52 R 5/78 <br />