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MINNEGASCO, INC. MAINTENANCE ORDER NO. <br /> ❑ MAIN � SERVICE PAV.CUT NO. LEAK RPT.NO. <br /> DATE MUNIC. RESP.ACCT.NO. <br /> FPC-or-E NO. <br /> LOCATION: <br /> NATURE OF WORK <br /> FOREIGN STRUCTURES PRESS. CL. NEW SURFACE DISTURBED <br /> Tele � � O A TAP � Road Mix Bituminous � Dirt <br /> Elec � 2 � C $IZE O Hot Mix Bituminous � Gravel <br /> 0 5 � E � Portland Cement Concrete 0 Oiled Earth <br /> Light/Traf.Cable 0 6 � F <br /> O 8 � K � Roadway � Blvd. O Walk � Alley <br /> Other Size Disturbed <br /> PIPE LENGTH � Same Ft. Longer Ft.Shorter Ft. Abandoned <br /> SERVICE TAP MEASUREMENT <br /> DATESTARTED COMPLETED FOREMAN <br />� TRUCK NO. TOWN NO. FOREMANS P.R. NO. <br /> To the (City Engineer <br /> (City Council <br /> (Village Council <br /> (Town Board <br /> The undersigned hereby requests permission to perform the work <br /> indicated above. <br /> MINNEGASCO, INC. <br /> Sr. Desi �n ine� <br /> � 9 9 ) <br /> To Minnegasco, Inc. <br /> Permission is hereby granted Minnegasco, Inc. to perform the <br /> work indicated above. <br /> of <br /> Date BV <br /> (Authorized Signature) <br /> FORM 45A R3/78 <br />