HomeMy WebLinkAbout1977-01-18 Notice of Gas Service InstallationCRec ’d in Street
Mpis.
Suh.
Ntop No.
^ OW'IIO
567
MINNEGASCO
SERVICE INSTALLATION
NewOld
Customer's Nome ________^7
Installation Address ^ i*- vH*
Legal Description: Lot No.
'iDr t.ar. Pnrk
Bldg.
MUNICIPAL
PERMIT NO.
ORDER NO.
E-NO. _
Class
> J 'J
Tel.
Block No.
Addition.
Contr’s Name Tel.
Contr's Address
Owner ’s Name
Owner ’s Address
Tel.
Date Ordered t~l8~77 Max. Demand
Main Auth.
Add’l Info.
CF/Hr. Taken By
Main Auth. No. Service Location: Right ni Left I I Front T5/M” aA Serv 1’ Mala 70* l.a SS ^ 2o'^
P'il ru'I i For So:. In
Date Completed Foreman ’s Name
To the (City EngineerCALL
(City Council
(Village Council
(Town Board
CALL
The Minnesota Gas Company hereby requests permission fr. pwform
the work indicated above.
MINNESOTA GAS COMPANY
(Chi«f Design Engineer)
r •»>
r.tt rt
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
A'/-
Date / 7 7
(Authorited Signoturo)
FORM S2*3R 6^ 69