HomeMy WebLinkAbout05-27-1983 Notice of Gas Service RepairMINNESOTA GAS CO. MAINTENANCE
□ MAIN CDSERVICE PAV.CUTNO;________
DATE 5-27-83_____MUNic. Qrono
ORDER NO. 55Qn
LEAK RPT. NO.________
resp .acct.no.______
FPC • or • E NO. 892
LOCATION:1376 Bcildur Park Hoad
1
NATURE OF WORK Pcnnir .SarvicG i
) ....
FOREIGN STRUCTURES PRESS. CL.NEW SURFACE DISTURBED
Tc!e 0 t □ A TAP CD Rood Mix Bituminout CD Dirt
£loc
az □ c
n s i~i E
SIZE Q Hot Mix Bituminous (□ Grovel
□ Portland Comont Concrete LJ Oiled Earth
Light/Traf. Cable □ 6 (□ F □ Roadway O Dtvd. CD Walk O Alley
Other
i’-'i 8 1 I JC ;Sijro Disturbed
PIPE LENGTH D S«mo Ft. Longer Ft. Shoriof Ft. Abandoned
SERVICE TAP MEASUREMENT
DATE STARTED 3 79 ^3 COMPLETED FOREMAN rv-^^>^^pg
TRUCK TOWN NO. FOREMANS P.R. NO. -
To the (City Engineer
(City Council
(Village Council
(Town Doard
The undersigned hereby requests permission to perform the work
indicated above.
MINNEGASCO. INC.
(Sr. Design Engineer) <-/
To the Minnesota Gas Company *
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
r::L of,
D«.
_;J/ C i,/ /
. /
(Authorized Signature)
FORM 45A R3/78