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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.1-1 SERVICE INSTALLATION ORDER NO. — <br />Sub. E-NO. <br />Map Nto.��Nv Old[] New[:] Bldg. ,lass <br />Customer's Name �;�;�,..a;�;ij.«�, Tel. <br />Installation Address Q6 I � Fcaa, t duns I a ff Earw Lk 1)r. <br />Legal Description: Lot No. Block No. 1 <br />F r�rast Arena %isuritt� f') -1 ri A d d i t i o n <br />Contr's Name Tel. <br />Contr's Address <br />Owner's Name Tel. <br />Owner's Address <br />Date Ordered Max. Demand CF''Hr. Taken By <br />Main Auth. No. 5w1 lb Service Location: Right 0 Left ❑ Front <br />Add' I Info. 4/8" PP Sets Us PE Main a' SNL i ne 5S <br />Date Completed _ Foreman's Name <br />` <br />To the (City Enginelr;.,X <br />�i <br />(City Council <br />(Village Council <br />(Town gjard <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />MINNEAPOLIS GAS COMPANY <br />(Chid Design Engineer) <br />,2 l <br />To the Minneapolis Gas Company <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />of <br />Date ' By <br />(Authorized Signature) <br />FORM 1112-31R d/ M <br />