HomeMy WebLinkAbout1977-05-27 Hennepin Co Application for PermitU •ifcl'm
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C*«««ity K*«^ N«.
NENNiPIN COUMTY
NIGNWAY DEPAIITMINT
APm.lCAT10N FOR INS
ifiDvgni)
LLATtON OF tjiyiTI
JUN 2 un
MwniclMlily
LOCATION AND/OR DESCRIPTION OF WORK
Ddw tag service _______ ___
•Iti^t •• CAuntjf RifHwsy N«...
____________ »• _____
VILLM3B Oa OBOliir'
lRUUt^>V32SQ ^syticie^ PxOad ^
to plact, comtniet and I
s^iicMt Minnesota Gas CoapEny_______________________
Addfoaa 700 Limien Avenue Wast Minneapolis, 55403
CITY fTATI
572-483S
HR COOB
Party of atfool m§m Saxam as hbove
Addvaaa SaMO aS ttbove
BIR COOB
Plwia (iaaiMsa).iVbove 372-4900
1. AtWIAL CONSTWUCTION • Submit dttaHad print ihoidno tvpa and looirtOR of iftrtaHatlOR.
^Q^OCONSTRUCTIQM IMtT^T^
□ Main «4Ct tlla Plya cloaa ■
□ Traotita . ^ Tyya kaddiRf_______________
□ Clay a? caacrata W»iea »yf
3Q]lStaaL plaalic Siaa 5/8 * PF^—
OtAar______________________________ Daofli -
CANHG
Stool ploa
OtAavtypo.
Siaa
DapHi
3. METHOD OP INSTALLINQ UNDER ROAOSEOS M ooaw tfWKh. taalali
Q^WavInf □ iacktnt □ Opaa tfoodli
TEAVELED SMRPACi
□ Cancrata
□ SItaailRaaa
SHOMLPEE
□ SilaaiinaMa
□ OtaYal
Olkaf_____
■ODLEVAED
□ Sod
STRUCTURES
□ •rt4#a
□ Sax culvart
□ Pipa (CancYf a, aiatal)
□ CaiA 4 Oattar
□ Sidawalk
Odiar_______
6. Tlia iMdaeavdllbaraMorad and all work undar this pwmit will baeomplaiad on or k
□ Traaa
□ Shraha
. □ Plaasiafa
Deconhor 31, 1977
OATS
(PERMIT IS VOID AFTER THIS DATE)
ir waA cannal ba camplatad wlAln dataa apaclflad, a wflttan raoaaaf far panaUaian a( axianslan lauat ba wada la Aa Harwapla
Caanty Nlfharay'Daparttaant.^PWOOaj rva^ooaov^ ORwpvaa*a« va« «•
Eacapt far Aa riafllfaat acta af tba County. Ita aponta ond Ifa aaiplayaaa. Aa OlHlty ar Paraiittaa aball aaauwa all liability far and
lava Aa C^nty. ita apanla ond ita aaiplayaaa. banalaaa fraai any and all claima far dawapaa. acliana ar cauaaa af octlan arlainp
aut af tba waA fa ba dona barain and Aa caniinuinp uaaa by Aa Parmittaa. includinp but nat liaiiiad ta tba ptacinp. canatructinp.
racanalructinp. oialnfaininp and uainp af aold utility undar Aia application and Pamit far canatfuctian.
(I. «a) tba undaraipnad. borawiA accapt Aa tanno ond canditiana af Aa rapulatlana oa laid dawn by Aa County af Nannopin ond
apraa ta felly cawply ibarawltb la Aa aatlafactlan af tba County Nipbway Dapartmant.
m Orpa MINIinSOTA GAS COMPANY
L_._.f/IAlNT. I.1AY 2 7 1377 REC’II
/V-. - - ^--5-77
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