Laserfiche WebLink
,_ , ._ <br />�' � <br /> , <br /> MINNEGASCO, INC. MAINTENANCE ORDER NO. �"� � <br /> O MAIN O 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 1 O A TAP <br /> ❑ Road Nlix Bituminous � Dirt <br /> Elec � 2 O C SIZE � Hot Mix Bituminous O Gravel <br /> Q 5 � E � portland Cement Concrete � Oiled Earth <br /> LighVTraf.Cable � 6 � F <br /> � 8 O K � Roadway � Blvd. O Walk 0 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 /> (Viflage Council <br /> (Town Board <br /> The undersigned hereby requests permissioR to perform the work <br /> indicated above. <br /> MINNEGASCO, INC. <br /> /,! <br /> (Sr. Design Engine� <br /> To Minnegasco, Inc. <br /> Permission is hereby granted Minnegasco, Inc. to perform the <br /> work indicated above. <br /> of <br /> Date By <br /> (Authorized Signature) <br /> 'M 45A R3/78 <br />