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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ED Propane Vapor D Permit No. <br />Municipality ORONO Minneapolis O Order No. Ll 114 <br />Folio No. Date Ordered - 73 E No. 30 <br />Customer's Name E S lend r . c ksu n Tel. <br />Installation Address 323 No Ferndale Zip, <br />Lot Block Addition Yn r ce 1 :} 1 80 <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 />Service Main Location <br />Pressure Class <br />Date Completed Foreman's Name <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission tc perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />(Chief Engineer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date <br />(Authorized Signature) <br />Form 52 R 5/78 <br />