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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls. ❑ SERVICE INSTALLATION ORDER NO. " <br />Sub. ; ', E-NO. <br />„map No. Old ❑New ❑Bldg. Class,_ <br />Customer's Name Tel. — <br />Installation Address <br />Legal Description: Lot No. Block No. <br />eddition <br />Contr's Name Tel. <br />Contr's Address — <br />Owner's Name Tel. _ <br />Owner's Address saMe <br />Date C rdered Date Wanted Taken By <br />�`` Demand CF/ r. Svc. Loc: A C <br />Moir. Auth. No. Max. Dem n N ❑ B ❑ ❑ <br />Add'I Info. <br />Dote Completed <br />To the (City Engineer <br />(City Council <br />(Village Counci I <br />(Town Board <br />Foreman's Name <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLISS GAS COMPANY <br />(Asst. Chief En9r.j, <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />(Authorized Signature) <br />