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Rec'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />MPIs.[] SERVICE INSTALLATION ORDER NO. 13520 <br />Sub. ORM E-NO. 33a <br />Map No. .-„9 _ OId❑ New❑ Bldg. Class <br />Customer's -;Name Estax [-nest_ COW Tel. <br />Installation Address 212k JQX St - <br />Legal Description: Lot No. I Block No. <br />u06b_ - 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. Service Location: Right ❑ Left [] Front ❑ <br />Add' I Info. c et 1111 awtv e, <br />Date Completed Foreman's Name <br />To the (City Engineer XXX <br />(City Council CALL ML <br />(Village Council <br />(Town Board <br />The Minneapolis Gas Company hereby requests permission to perform <br />the work indicated above. <br />352 <br />To the Minneapolis Gas Company <br />MINNEAPOLIS GAS COMPANY <br />(Chief Design Engineer) <br />Permission is hereby granted the Minneapolis Gas Company to perform <br />the work indicated above. <br />Date i <br />z <br />o0 <br />V , <br />(Authorized Signature) <br />FORM 32-3R 6' 69 <br />