HomeMy WebLinkAbout1980-08-22 Notice of Gas Service InstallationMap No.
MINNEGASCO SERVICE INSTALLATION
■ Natural Gas □ Propane Vapor CD Permit No.
Municipality Q r nna
Folio No ________
Minneapolis □Order No.
Date Ordered E No. fUhfi
______________________________Tel. ______
Installation Address ^21*^ Cascn Circle ____ Zip ___
Customer's Name
Installation Addrt
Lot -J3_ Block
J - P I
Addition Spring Park
Method of Installation or Construction (including method of compaction
and excavation) will be in accordance with procedures as described in
Minnegasco Operations Manual. Section 500. "Excavating. Backfilling and
Surfacing", the most recent edition on file with the permitting authority.
Install:_______
Additional Info.
Service Main
Pressure Class
Date Completed Foreman's Name
Location
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
/r f (Chief Engineer)
V t A-
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform the work
indicated above.
/J? ^
- T ^
Rw '*' ■ \ ^ - . ■ J > ( , j
r (AuthorI/ed Signature)
form 52 R 5/7fi