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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor 0 Permit No, <br />Municipality � `'t��� Minneapolis 0 Order No, <br />Folio No. Date Ordered I-Q-28—FU E No. <br />Customer's Name Charles, Flotrci Tel. <br />Installation Address 96 <br />0 Ferndale Road �d� t tip <br />Lot P t 2 `� Block Addition Coy rrn Lr� <br />Install <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 />Service Main Location <br />Additional Info. <br />Pressure Class <br />Date uompietea <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />roreman s rvamr <br />The Minnesota Gas Company hereby request <br />indicated above. <br />.iission to perform the work <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 />—Of� <br />Date 1 Z� BY <br />(Authoriz Signature) <br />�i <br />a <br />