HomeMy WebLinkAbout1977-08-08 Gas Service Repair OrderMINNESOTA GAS CO. MAINTENANCE
□ MAIN b SERVICE P.C. NO.____
DATE ______________
LOCATION:
MUNIC.,
f' ,
ORDER NO.
NARUCOR E NO.,
RESP. ACCT. NO.
' < 17
NATURE OF WORK r
FOREIGN STRUC.PRESS. CL.SURFACE DISTURBED PIPE LENGTH
TELE___________.□ 1
□ 2 O ASPHALT □ OIL.□ SAME
ELEC___________,□ 3
□ 4 (□ CONCRETE (D DIRT FT LONGER
Mill n ■O BL.VO O WALK D ALLEY
SIZE DISTURBED
FT SHORTER
OTHER-------------i a 6 FT ABANDONED
SERVICE TAP MEASUREMENT
DATE STARTED ' ^DATE COMPLETED FOREMAN
To the Minneiota Gas ComfMny
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
Date.
(Authorized Signature)
Form 45A R11/71