HomeMy WebLinkAbout1972-04-04 Notice of Gas Service InstallationRecd in Street
MP I s .❑
Sub. ). ::!
MINNEGASCO
S-RVICE INSTALLATION
MUNICIPAL
PERMIT NO.
ORDER NO.
E -NO.
Map No. ,11� Old ❑ New f Bldg. Class
Customer's Name Tel.
Installation Address
Legal Description; Lot No. Block No.
Addition
Contr's Name Tel.
Contr's Address
Owner's Name Tel.
Owner's Address
Dote Ordered Max. Demand CF; Nr. Taken By
Main Auth. No. _ " Service Location; Right ❑ Left ❑ Front ❑
Add' I Info. {. i
+j*
Dote Completed Foreman's Name
To the (City Engineer
f
(City Council
(Village Council
(Town Board
The Minneapolis Gas Company hereby requests permission to perform
the work indicated above.
MINNEAPOLIS GAS COMPANY
(Chief Design Envin*er)
To the Minneapolis Gas Company
Permission is hereby granted the Minneapolis Gas Company to perform
the work indicated above.
of
Date
(Authorized Signature)
FORM $P -SR A 0s9