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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas E ] Propane Vapor E J Permit No. <br />Municipality ()rnna Minneapolis C7 Order No. 9074A <br />Folio No. Date Ordered —?=—�g E No. In <br />Customer's Name 1t ypn NAnA r ► c le cnn Tel. <br />Installation Address r%.?q FeEnciale Rm et lit tip <br />Lot Block 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: Service Main Location <br />Additional Info. _ <br />Pressure Class <br />vate wmulCtCU <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />1 VIGI IIVII J 1•I.II116. <br />The Minnesota Gas Company hereby requests permission to 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 />11 —1 / —., 1) <br />Date <br />By <br />City of Ororio <br />(Author ized Signature) <br />Form 52 R 5/78 <br />