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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality n:ana Minneapolis 1:1 Order No. 2311.- <br />Folio No. Date Ordered I0-72-%7S E No. 30.. <br />I stomer's Name u: l f rgel ©= Gagne Tel. E <br />nstallation Address G FFrnda a )marl N tp <br />Lot _L_ Block _ I Addition } <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 <br />Additional Info. <br />Date Comaleted <br />Service Main <br />Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />Pressure Class <br />Location <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />i <br />To the Minnesota Gas Company <br />MINNESOTA GAS COMPANY <br />77 (Chief Engineer) <br />Perm ssion is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date 11 —1 6 -7 ;' <br />_of _ <br />BY <br />R; <br />Form 52 R 5/78 <br />