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MINNEGASCO SERVICE INSTALLATION <br />Map No. `1$9 Natural Gas 0 Propane Vapor (.=7 Permit No. <br />Municipality Orono M;nneapolis 0 Order No. 7900 <br />Folio No. _ Date Ordered 10-1 6-81 E No. 7446 <br />Customer's Name Jerry Lami re Tel. <br />Installation AddressForest Lake Drive Zip <br />Lot L Block._ Addition Foiast Arins Conuntry C 1 ub Add. <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: <br />Additional Info. <br />Date Completed <br />Service Main <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />r-oreman's Name <br />Pressure Class <br />Location <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />r <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.f i, J-- <br />f <br />i✓� <br />Date f� 1 / " ,�� �g <br />Y _ <br />(Authorized Si9Aature) <br />rurin DL m wits <br />