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....,,'•.,._,�...�... � a g. r�r-.ram-.�..P�o-�n-.-.�.�. <br />MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality __ge Minneapolis O Order No. '7666 <br />Folio No. Date Ordered 4 2 ,-gg E No. TLlil. <br />rCm ustoer': Name — Tel. <br />Installation Address Rw� s�e;t � Zip <br />Lot ,, -0 ► B!r ck 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 />Date Completed Foreman's Name <br />To the (City Engineer <br />(Ctity Council <br />(Village Council <br />(Town Board <br />'fhe Minnesota Gas Company hereby requests permission to perform the work <br />indicate(, above. <br />MINNESOTA GAS COMPANY <br />1�d 4- 1--- L <br />(Chief Engineer) <br />Tc the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indit 3ted above. <br />of <br />_4 <br />Date <br />Form 52 R 5/78 <br />