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MINNEGASCO SERVICE INSTALLATION <br />Map No. _ Natural Gas Cl Propane Vapor i-1 Permit No <br />Municipality Orono Minneapolis O Order No <br />Folio No. Date Ordered .)-24-8o E No <br />lLot <br />ustomer's Name Don Re rile r Tel. <br />nst_•:lation Address 911`-' �' or `= it A rm Lang_ Zip Block k2 Addition Forest At Couti t i C 1 ub _ <br />Instzll <br />3877 <br />/I14 6 <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, "E.ccavating, Backfilling and <br />Surfacing", the most recent edition on He with the permitting authority. <br />Service Main Location <br />Additional Info. <br />_ Pressure Class <br />LJdie %.UFTIIJIUWU rUlCllldll J IVAfi1C <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />r <br />(Chief Englieer) <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Comp_ ny to perform the work <br />indicated above. <br />Date .' <br />y L <br />7 A <br />—of _...�, <br />By <br />(Authorizid S <br />r <br />Form 52 R 5; 78 <br />