HomeMy WebLinkAboutNotice of Gas Service InstallationRecd in Street
MINNEGASCO
MpIS.FJ SERVICE INSTALLATION
Sub.
Map No. Old ❑ New[ B Ing. _
Customer's Name
Installation Address
Legal Description: Lot No. Block No
MUNICiPAL
PERMIT NO.
ORDER NO.
E -NO.
Class
Tel.
Addition
Contr's Name Tel.
Contr's Address
Owner's NameTel.
Owner's Address
Date Ordered ;; Max. Demand CF Hr. Taken By
Main Auth. No. Service Location: Right El Left [] Front Ej
Add'I Info. ja'' rf ,�r� ► ni. _ ----- ---
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINNEAPOLIS GAS COMPANY
(Chief Design Engineer)
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perform
the work indicated above.
of
Date By
(Auihwised S,gnolu,e)
FORM -.-3P 6 69