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HomeMy WebLinkAbout1981-12-07 Gas Service Repair RecordMINNESOTA GAS CO. MAINTENANCE ORDER NO. 818161 ❑ MAIN [21 SERVICE PAV. CUT NO. LEAK RPT. NO. DATE 12.7-81 MUNIC. __Orono RESP. ACCT NO. FPC -or - E NO. 842 LOCATION: �(sq Cirmae StY'mat� NATURE OF WORK ■ r r FOREIGN STRUCTURES Tele E lac Light/Traf. Cable Other P I ESS. CL. C, t ❑ A ❑2 ❑ C Q 5 Q E ❑6 ❑ F 0 8 C3 K NEW SURFACE DISTURBED TAP 0 Road Mix Bituminous ❑ Dirt SIZE ❑ Hot Mix Bituminous ❑ Gravel ❑ Portland Cement Concrete ❑ Oiled Earth ❑ Roadway ❑ Blvd. L7 Walk ❑ Alley Size Disturbed PIPE LENGTH D Same Ft. Longer Ft. Shorter Ft. Abandoned SERVICE TAP MEASUREMENT DATE STARTED COMPLETED Q.•28•»f;l FOREMAN Sst•gr TRUCK NO. TOWN NO. FOREMANS P.R. NO. To the (City E nginew (City Council (Village Council (Town Board The undersigned hereby requests permission to perform the work indicated above. MINNESOTA GA COMPANY By • (Authorized Signature) lop To the Minnesota Gas Company Permission is hereby granted the Minnesota Gas Company to perform the work indicated above. (—I fkA —of L Date e..._ .- y (Authorized Signatu e) FORM 45A R3/78