HomeMy WebLinkAbout1977-11-10 Notice of Gas Service InstallationRecd in Street
MINNEGASCO
MUNICIPAL
PERMIT NO.
MPIs.❑ SERVICE INSTALLATION ORDER NO.
Sub. E -NO.
Map No. Old[] New❑ Bldg. Class
Customer's Nome 40 is i ,_: -o- Tel.
Installation Address 4b --
Legal Description: Lot No. Block No.
Contr's Name ;.*w.. �.,..vF.
Tel.
Addition)
Contr's Address
Owner's Name_ Tel.
Owner's Address
Dote Ordered Max. Demand CF/Hr. Taken By
Main Auth. No. Service Location: Right ❑ Left ❑ Front E]
Add' I Info.
Date Completed Foreman's Name
To the (City Engineer
(City Council
(Village Council
(Town Board
The Minnesota Gas Company hereby requests permission to perform
the work indicated above.
MINNESOTA GAS COMPANY
(Chid Design Ensins+w)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
Dote
FORM $I -SR {/ N
of
By
(Authwized Slsneture)