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KIINNEGASCO SERVICE INSTALLATION <br />Map No. Natural Gas ❑ Propane Vapor ❑ Permit No. <br />Municipality Orono Minneapolis a Order No. 0228 <br />Folio No. Date Ordered 3,13,80 E No. <br />Iustomer's Name Edgar T. Mertz Tel. <br />Installation Address 1 820 Fox Street Zip <br />2 Block 1 Addition wa 1 d ron <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, Backtilling 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 />Date Completed Foreman's 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 />I <br />To the Minnesota Gas Company <br />Permission is hereby granted the Minnesota Gas Company to perform the work <br />indicated above. <br />Date--`,— " L>, / u <br />(Authorized pignature) <br />Form 52 R 5/78 <br />