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MINNEGASCO, INC. MAINTENANCE ORDER NO. <br /> ❑ MAIN O SERVICE PAV.CUT NO. LEAK RPT.NO. <br /> DATE MUNIC. RESP.ACCT.NO. <br /> FPC-or-ENO. <br /> LOCATION: <br /> NATURE OF WORK <br /> FOREIGN STRUCTURES PRESS.CL. NEW SURFACE DISTURBED <br /> Tele � � 0 A TAP � Road Nlix Bituminous � Dirt <br /> Elec � z � C SIZE � Hot Mix Bituminous � Gravel <br /> � 5 � E � portland Cement Concrete � Oiled Earth <br /> Light/Traf.Cable � 6 � F Q Roadway � Blvd. 0 Walk � Alley <br /> Other � 8 ❑ K <br /> 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 undersig�ed hereby requests permission to perform the work <br /> i�dicated above. <br /> MINNEGASCO, INC. <br /> (Sr. Design Engine� <br /> � <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 Signaturel <br /> FORM 45A R3/78 <br />