HomeMy WebLinkAbout1981-02-03 Gas Service Repair NoticeMINNESOTA GAS CO. MAINTENANCE
a MAIN □ SERVICE PAV. CUT NO^
DATE V MUNIC.
2-3-81
LOCATION:
oaoHO
ORDER NO.
LEAK HPT NO.
RESP ACCT NO.
FPC - or • E NO.
p Potat ad
NATURE OF WORK
5/3” PI (I9j0) S»TV to
4n nl-6 M-297«SI_ _ _ _ _ _ _ _ _ _ _ _
FOREIGN STRUCTURES
Tele
Elec OAU
LighVTraf. Cable
Other
PRESS. CL.NEW
CD 1 a A TAP
CD 2 a c 5IZE
a & □ E
CD 6 CD F
CD 8 CD K
SURFACE DISTURBED
0 Road Mix Bituminous CD Dirt
□ Hot Mix Bituminous CD Gravel
CD Portland Ceniont Concrete CD Oiled Earth
CD Roadway CD Blvd. CD Walk CD Alley
Size Disturbed
PIPE LENGTH a Same Ft. Longer Ft. Shorter F t Abandoned
SERVICE TAP MEASUREMENT
DATE STARTED
TRUCK NO. ___
COMPLETED
TOWN NO.—
FOREMAN
FOREMANS P R. NO.
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
cJ:jjV
Date .-‘i -Y <‘1^ -Q
(Authorized Signature) / i
FORM 45A R3/78
____