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MINNESOTA GAS CO MAINTENANCE ORDER NO <br />0 MAIN 9 SERVICE PAV, CUT NO. LEAK RPT NO <br />DATE R-)G_]Q MUNfC. h, -„n,, RESP ACCT NO <br />FPC or - ENO. <br />LOCATION 1L, 5 fll ti n.t vzn:r.. <br />NATURE OF WORK .�.raaa.ar►a.ukri <br />FOREIGN STRUCTURES PRESS. CL. NEW SURFACE DISTURBED <br />Tele O 1 O A TAP O Road Mtn Bituminous ❑ Dort <br />Elec 02 p C SIZE O Hot Mia Bituminous O Gravel <br />O 5 O E CA Portland Cement Concrete n Oiled Earth <br />Light/Tral Cable 06 d F D Roadway 0 Blvd O W4114 0 Alley <br />Other L7 8 p K <br />Su• Onwrtsed <br />PIPE LENGTH O some _ Ft Longer Ft Shorter --- Ft Abandoned <br />SERVICE TAP MEASUREMENT <br />DATESTARTED COMPLETED FOREMAN IM Mat <br />TRUCK NO. TOWN NO. FOREMANS P.R. NO._.r <br />To the Icily Engineer <br />IC+ty Council <br />IVillage Council <br />(Town Board <br />The undersigned hereby requests permission to perform the w <br />indKamd above. <br />MINNESOTA GA COMPAfNJY <br />By Q <br />(Authon:ed Srgnsture) <br />To the Mlnnwots Gas Company <br />Permission is hwoby granted the Minnesota Gas Company to perform <br />the work indicated above. <br />of <br />Date By <br />(Authorized Signaulre) <br />FORM 45A R3/78 <br />