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Rec'd in Street MUNICIPAL <br />MINNEGASCO .'ERMIT NO. <br />MpIs.❑ SERVICE INSTALLATION ORDER NO. 1,,-13t <br />Sub. �,, <br />' E - N 0 . —97) <br />Map IJo. Old❑ New❑ Bldg. Class <br />Customer's Name_ er=f -. =g Tel. --1 <br />1 istallotion Address ` C,91 ray vie4 Lanz. <br />!-.egal Description: Lot No. Block No. <br />Contr's <br />Contr's <br />Owner's <br />Owner's <br />Name <br />Address <br />Name__ <br />Address <br />Tel. <br />Tel. <br />Addition <br />Date Ordered 2s-77 Max. Demand 'wFiHr. Taken By <br />Main Auth. NoS �9 Service Location: Right ❑ Left ❑ Front [] <br />Add' I Info. 5J8" AA Sery 1-t ' IAA Main I0' L S5 <br />2 PST On GarAae <br />Date Completed <br />To the (City Engineer 3 <br />(City Council <br />(Village Council <br />(Town Board <br />Foreman's Name <br />The Minnesota Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNESOTA GAS COMPAi',!Y <br />i <br />VL�L1-�� <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 />of to <br />Date By <br />(Authorized Signature) <br />FORM 52-9R 6i 89 <br />