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Map No.___ <br />:.j Municipal!^ <br />Folio No. ^ <br />Vv''■■■:. <br />\ .■ ■ <br />■ <br />rc-'--; ■■ ■ "f ; <br />Vi- ■ -■ <br />glnstall: _ <br />Additional Info. <br />m. <br />50'i <br />Cuitomer's Name _ <br />Installation Address <br />Lot Block — <br />____.. Natural Gas □ Propane Vapor □ Permit No. <br />nr-r>nr> ________ Minneapolis □ Order No. <br />Hatfi Ordered 1E No. <br />Ml Twi <br />tar;i P_^y Pir^gr^ Prl <br />Addition. <br />' "jAfiFin <br />lEM <br />Method of Installation or Construction (including method of compaction V <br />and excavation) will be in accordance with procedures as described in <br />Minnegasco Operations Manual, Section 500, "Excavating, Backfilling and <br />Surfacing", the most recent editiotj on file with the permitting authority. : ; <br />.Service..Mein <br />:: <br />■ ... - ' • ■’ . '■ i <br />^Location ■ >L <br />Pnv:sraAnn^y sprvj cy RRnl acemnni: <br />.Pressure CIs <br />Date Completed.9.-27-a4 . Foreman's Name Pel lj nen <br />'ri <br />I:-', <br />jAthe (City Engineer /• <br />■ ■ (City Council ; v: <br />; . (Village Council > <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the vyoi k^ <br />indicated above. <br />minnegasco, INC. <br />(Sr. Design EnginMr)C/~ <br />V ' <br />To the Minnesota Gas Company <br />M H- Perhiission is hereby granted the Minnesota Gas Company to perform the work <br />.’inaicatedabove. ' <br />Date , /•?,. <br />S' <br />S; <br />s:'-' <br />v-v; <br />•jt: <br />-Of-ZU-U. <br />It: <br />i' <br />z.', .V <br />Form 52 R S/78 , \ <br />... i=', <br />' .. >■ <br />& <br />\'.\r <br />V: