HomeMy WebLinkAbout1981-02-03 Notice of Gas Service MaintenanceMINNESOTA GAS CO. MAINTENANCE
a MAINj^ SERVICE PAV. CUT NO;________
.e«e«e-
LOCATION:2 5 10 Oaiee Point Rd
ORDER NO.
LEAK RPT NO.
RESP.ACCr NO
FPC - or E NO.
Tm
NATURE OF WORK
PB ?taia Cl-6
ie»t «nvi tonu«ct 5/<i'' PE (H-JO) Serv to
K-Y97-TT
FOREIGN STRUCTURES PRESS. CL.NEW
Tele a 1 LD A TAP
CaU.
Elec □ 2 a c
a 5 a E
SIZE
Light/Traf. Cable a 6 □ F
Other D 8 D K
SURFACE DISTURBED
Q Road Mix Bituminous O Dirt
D Hot Mix Bituminous [T Graval
O Portland Cement Concrete O Oiled Earth
O Roadiivav □ Blvd. [□ Walk O Alley
Sire Disturbed
PIPE LENGTH (□ Same _ Ft Loneer Ft Shorter Ft Abandoned
StRVICE TAP MEASUREMENT
DATE STARTED COMPLETED FOREMAN
TRUCK NO.TOWN NO.FOREMANS P.R. NO.
To the (City Engineer
(City Council
(Village CourKil
(Town Board
The undersigned heredy requests permission to perform the work
indicated above.
MINNESOTA GAgCOMPANY
Rw Q I
(Authorized Signature)
To the Minnesota G» Comp«ty
Permission is hereby granted the Minnesota Gas Company to per form
the ¥Hiork indicated above.
'L
Dete.
(Aiithon/pfl Stgnaturft
FORM 46A ns/rt