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..-.. mom..:.+-::..-..«... .».. .. .. ..•+...-t-,.<•.w.rn... ....... ..-«-s,+. .,....,r,.: _:,�s,,. �.. ,•-.-. .-, a..,.+�.. .:.- •..�.. r.......•+^,r.�..•«..,.. .. ., <br />MINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No, <br />Municipality Minneapol;s ❑ Order No. <br />Folio No. Date Ordered _rS.} E No, <br />IL <br />stomer's Name �3 i�..�_..Abwkkad Tel. <br />nstallation Address j.Tr_F9;�eet Zip <br />ot Block Addition <br />Method of Installation or Construction (including methnd 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 />L/dle %,U111PICCCU rureman 5 Name <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 />(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 />QDate _ By -- <br />(Auth izei Signature) <br />i <br />Form 52 R 5 78 <br />