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MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas El Propane Vapor E-1 Permit No <br />Municipality 0 rono Minneapolis E] Order No <br />Folio No. Date Ordered 2-16-81 E No <br />lL <br />stomer's Name Rebers Const Tel. <br />nstallation Address 1185 Fernda 1 e Road West Zip <br />ot Block Addition Tract A R L S 522 <br />2419 <br />30 <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 />r1 -- J r _ _/_ wI <br />VOIC %iUITIL) ULUIJ <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />F VI C111011 J IYOIIIC <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 />o� <br />Date 3-5 By <br />(Autfjoriz Signature) <br />r <br />Form 52 R 5178 <br />