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Map No. <br />MINNEGASCO SERVICE INSTALLATION <br />________Natural Gas O Propane Vapor □ Permit No.. <br />nrnnn._______________ Mlnoeapolis □ Order No.. <br />________________DateOrdered £ No.. <br />^tonwr't Name __^ ^__________________________________________^Tel. <br />Imtallalion AAimt. J Bohns Pt Rd 2Jp <br />Lot _____Bock _____ Legal <br />1 <br />Municipality <br />Folio No.__ <br />Method of Installation or Construction (including method of compaction <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 edition on file with the permitting authority. <br />Install:.ervice..Main .Location <br />Additional Info. <br />.Pressure Cla <br />Date Completed.. Foreman's Name , <br />To the (City Engineer <br />(City Council <br />(Village Council <br />(Town Board <br />The Minnesota Gas Company hereby requests permission to perform the work <br />indicated above. <br />MINNESOTA GAS COMPANY <br />^ V>-L^C- — <br />iinncou f M u <br />7T^(ChJtl EnpinwrI <br />To the Mirmesota Gas Comparty <br />Permission is hereby granted the Minnesota Gas Company to perform dte work <br />indicated above. <br />City Ornno <br />Date.1 0-1 7 'WXA lA 7/ <br />(Authorised Sighaturel <br />Form 52 R 5/78