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Roc'd in Street MUNICIPAL <br />MINNEGASCO PERMIT NO. <br />Mpls.[] <br />SERVICE INSTALLATION <br />ORDER NO. <br />Sub. <br />E -NO. <br />No. <br />Old❑ Now[] Bldg. <br />Close <br />_Mop <br />Customer's Name <br />Tel. <br />Installation Address <br />Legal Description: <br />Lot No. Block No. <br />Contr's No <br />-� <br />Addition <br />Tel. <br />Contr's Address <br />Owner's Nome <br />Tel. <br />Owner's Address <br />Date Ordered.-. <br />Max. Demand r�,;;_ CF/Hr- <br />Taken By <br />Main Auth. No. <br />Service Location: <br />Ri#M El Left ❑ From [j <br />Add' I Info. <br />Date Completed <br />Foremen's Name <br />To the (City Engltteer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requem permission to perform <br />the work ittdies sbow. <br />MINNESOTA GAS COMPANY <br />To the Minnesota Ga Company <br />Permision is hereby granted the Minnesota Gas Compeny to perform <br />the work indicated above. <br />Data <br />FORM $&IN W N <br />(AvOwiz.i Sipmetum) <br />of <br />By <br />(AvOwiz.i Sipmetum) <br />