HomeMy WebLinkAbout1977-07-20 Notice of Gas Service InstallationRec'd in Street
Mpl».Q
Sub.
Map No.
CROHO
'i-n
MINNEGASCO
SERVICE INSTjMLATION
Customer ’s Name______
Instollation Address___
Legal Description: Lot
r i
.-W^No.
Contr’s Name___
Contr’s Address
Owner ’s Nome
MUNICIPAL
PERMIT NO. ______
ORDER NO.
E-NO. ■)
Class
Tel.
Tel.
Addition.
Tel.,
Owner's Address______________
Dote Ordered_2::^|.±lI2_ Max. Demand I CP/Hr. Taken By.
Main Aoth. No._________ _ __
Add’l Info. ’>/ <u' ’ vrv i ' ,'nin ■■ i i-):5 , .0,
Service Locotion: Right 0 Left 0 Front 0
Dote Completed .Foreman's Nome
To the (City Engineer A,X r AU
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform
the work indicated above.
MINNESOTA GAS COMPANY
(Chi«f Dttign Engin««r)
I
>:tt 4
To the Minnesota Gas Company
Permission is hereby granted thejMinnesota Gas Company to perform
the work indicated above. I
.of
y
/ r *
(Authoriiwl SIgnolur*)
FORM 5»-3R 6/6S