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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.r] SERVICE INSTALLATION ORDER NO. '' <br />Sub.. E-N0. <br />Map No. Old[] NewO Bldg. Class - <br />Customer's Name Tel. <br />Installation Address_' <br />Legal Description: Lot No. 4 Block No. <br />Fairway Vi,:�-. Addition <br />Contr's Name Tel. <br />Contr's Address _ <br />Owner's NomeTel. <br />Owner's Address <br />Date Ordered h f ? -71 Max. Demand `UU CF/Hr. Taken By V-1 <br />Main Auth. No.S j., Service Location: Right [] Left 0 Front [] <br />Add' I Ir,fo. `/$'' ►r'. Sc: ry I :;" Ar+►, .iiii ` w—L T. ' <br />Date Completed <br />Foreman's Name <br />To the (City Engineer,%A L.- <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Design Engineer) <br />- � �.I -- <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of eve <br />Date :• ,�� � _ � � _./ <br />1 By <br />"� C -� (Authorized Signature) <br />FORM 52-9R 6/ 69 <br />